1174956536 NPI number — SUSAN A DAWSON L.M.H.C., C.A.P.

NPI Number: 1174956536
Health Care Provider/Practitioner: SUSAN A DAWSON L.M.H.C., C.A.P.

NPI Number : 1174956536 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174956536",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAWSON",
    "FirstName": "SUSAN",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "L.M.H.C., C.A.P.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STAINROD",
    "OtherFirstName": "SUSAN",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMHC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "321 N DE VILLIERS ST",
    "SecondLineMailingAddress": "SUITE 209",
    "MailingAddressCityName": "PENSACOLA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32501-3890",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-512-6574",
    "MailingAddressFaxNumber": "850-466-3959",
    "FirstLinePracticeLocationAddress": "321 N DE VILLIERS ST",
    "SecondLinePracticeLocationAddress": "SUITE 209",
    "PracticeLocationAddressCityName": "PENSACOLA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32501-3890",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-512-6574",
    "PracticeLocationAddressFaxNumber": "850-466-3959",
    "EnumerationDate": "08/20/2013",
    "LastUpdateDate": "11/29/2016",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "CAP 5435",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "MH11067",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}