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1235546052 NPI number — TAILORED COUNSELING

NPI Number: 1235546052
Health Care Provider/Practitioner: TAILORED COUNSELING

Information about “1235546052” NPI (TAILORED COUNSELING) exists in 1235546052 in HTML format HTML  |  1235546052 in plain Text format TXT  |  1235546052 in PDF (Portable Document Format) PDF  |  1235546052 in an XML format XML  formats.

NPI Number : 1235546052 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235546052",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TAILORED COUNSELING",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2915 JENNIFER LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COUNTRY CLUB",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64506-1016",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "816-617-6259",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2915 JENNIFER LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COUNTRY CLUB",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64506-1016",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "816-617-6259",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/14/2014",
    "LastUpdateDate": "07/14/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MOSER",
    "AuthorizedOfficialFirstName": "JACKIE",
    "AuthorizedOfficialMiddleName": "D",
    "AuthorizedOfficialTitle": "THERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PLPC",
    "AuthorizedOfficialTelephoneNumber": "816-617-6259",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "2010041726",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "2013030909",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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