NPI Code Detail JSON Logo

1154055390 NPI number — ANITA SHANEL KAISER MA, LPC, LCMHC

NPI Number: 1154055390
Health Care Provider/Practitioner: ANITA SHANEL KAISER MA, LPC, LCMHC

Information about “1154055390” NPI (ANITA SHANEL KAISER MA, LPC, LCMHC) exists in 1154055390 in HTML format HTML  |  1154055390 in plain Text format TXT  |  1154055390 in PDF (Portable Document Format) PDF  |  1154055390 in an XML format XML  formats.

NPI Number : 1154055390 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154055390",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KAISER",
    "FirstName": "ANITA SHANEL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, LPC, LCMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "277 OVERCUP LOOP",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUMMERVILLE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29486-6969",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "803-921-9655",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6650 RIVERS AVE STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH CHARLESTON",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29406-4809",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-921-9655",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/13/2022",
    "LastUpdateDate": "11/03/2025",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "22072",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "9964",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.