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1225136799 NPI number — ROSWITHA HELENA HURST LPCC

NPI Number: 1225136799
Health Care Provider/Practitioner: ROSWITHA HELENA HURST LPCC

Information about “1225136799” NPI (ROSWITHA HELENA HURST LPCC) exists in 1225136799 in HTML format HTML  |  1225136799 in plain Text format TXT  |  1225136799 in PDF (Portable Document Format) PDF  |  1225136799 in an XML format XML  formats.

NPI Number : 1225136799 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225136799",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HURST",
    "FirstName": "ROSWITHA",
    "MiddleName": "HELENA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LPCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HURST",
    "OtherFirstName": "ROSE",
    "OtherMiddleName": "H",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MA",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "109 S AVENUE F",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTALES",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "88130-5954",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "575-714-1326",
    "MailingAddressFaxNumber": "575-226-3495",
    "FirstLinePracticeLocationAddress": "316 S ABILENE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTALES",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "88130-6208",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "575-226-3494",
    "PracticeLocationAddressFaxNumber": "575-226-3495",
    "EnumerationDate": "09/20/2006",
    "LastUpdateDate": "04/04/2017",
    "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": "0091591",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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