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1114491180 NPI number — AMY KOHN MCNELLY LCMFT, LMFT, CAC-II

NPI Number: 1114491180
Health Care Provider/Practitioner: AMY KOHN MCNELLY LCMFT, LMFT, CAC-II

Information about “1114491180” NPI (AMY KOHN MCNELLY LCMFT, LMFT, CAC-II) exists in 1114491180 in HTML format HTML  |  1114491180 in plain Text format TXT  |  1114491180 in PDF (Portable Document Format) PDF  |  1114491180 in an XML format XML  formats.

NPI Number : 1114491180 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114491180",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KOHN MCNELLY",
    "FirstName": "AMY",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCMFT, LMFT, CAC-II",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12103 STONEY CREEK RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POTOMAC",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20854-1165",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-803-0197",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8607 CEDAR ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SILVER SPRING",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20910-4324",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-200-5401",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/14/2019",
    "LastUpdateDate": "01/14/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "LMFT000144",
          "LicenseNumberStateCode": "DC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "LMFT717001490",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "LCM707",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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