1235769662 NPI number — SHARON MARGARET BARBOUR L.M.H.C.

NPI Number: 1235769662
Health Care Provider/Practitioner: SHARON MARGARET BARBOUR L.M.H.C.

NPI Number : 1235769662 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235769662",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BARBOUR",
    "FirstName": "SHARON",
    "MiddleName": "MARGARET",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "L.M.H.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TEDDER",
    "OtherFirstName": "SHARON",
    "OtherMiddleName": "M.B.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "22647 VENTURA BLVD.",
    "SecondLineMailingAddress": "#327",
    "MailingAddressCityName": "WOODLAND",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91364-1416",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-900-5287",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "22647 VENTURA BLVD.",
    "SecondLinePracticeLocationAddress": "#327",
    "PracticeLocationAddressCityName": "WOODLAND",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91364-1416",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-900-5287",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/24/2020",
    "LastUpdateDate": "09/07/2023",
    "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": "LMHC39003571A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "39003571A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "LPCC14016",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}