1255077905 NPI number — BRITTANY COGGIN WEBBER MA, LCMHCA, LSC, NCC

NPI Number: 1255077905
Health Care Provider/Practitioner: BRITTANY COGGIN WEBBER MA, LCMHCA, LSC, NCC

NPI Number : 1255077905 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255077905",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEBBER",
    "FirstName": "BRITTANY",
    "MiddleName": "COGGIN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MA, LCMHCA, LSC, NCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COGGIN",
    "OtherFirstName": "BRITTANY",
    "OtherMiddleName": "LEE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8145 ARDREY KELL ROAD SUITE 206",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLOTTE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28277",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "980-355-9503",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8145 ARDREY KELL ROAD SUITE 206",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHARLOTTE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28277",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "980-355-9503",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/06/2022",
    "LastUpdateDate": "09/16/2024",
    "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": "101YS0200X",
          "TaxonomyName": "School Counselor",
          "LicenseNumber": "1172560",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "A17532",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}