NPI Code Detail JSON Logo

1255602447 NPI number — JOYCE MILDRED VILLALOBOS MA, LPC, LISAC, NCC

NPI Number: 1255602447
Health Care Provider/Practitioner: JOYCE MILDRED VILLALOBOS MA, LPC, LISAC, NCC

Information about “1255602447” NPI (JOYCE MILDRED VILLALOBOS MA, LPC, LISAC, NCC) exists in 1255602447 in HTML format HTML  |  1255602447 in plain Text format TXT  |  1255602447 in PDF (Portable Document Format) PDF  |  1255602447 in an XML format XML  formats.

NPI Number : 1255602447 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255602447",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VILLALOBOS",
    "FirstName": "JOYCE",
    "MiddleName": "MILDRED",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MA, LPC, LISAC, NCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "AMBROSE",
    "OtherFirstName": "MICKEY",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MA, LPC, LISAC, NCC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "483 W SEED FARM RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SACATON",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85147-5000",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-438-9456",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "GILA RIVER HEALTH CARE CORP",
    "SecondLinePracticeLocationAddress": "483 W SEED FARM RD",
    "PracticeLocationAddressCityName": "SACATON",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85147",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "520-528-1200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/19/2012",
    "LastUpdateDate": "09/03/2019",
    "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": "LISAC-10618",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "LPC-11785",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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