NPI Code Detail JSON Logo

1265678395 NPI number — ELIZABETH ROCHELLE DEVINE M.ED., LPC-S

NPI Number: 1265678395
Health Care Provider/Practitioner: ELIZABETH ROCHELLE DEVINE M.ED., LPC-S

Information about “1265678395” NPI (ELIZABETH ROCHELLE DEVINE M.ED., LPC-S) exists in 1265678395 in HTML format HTML  |  1265678395 in plain Text format TXT  |  1265678395 in PDF (Portable Document Format) PDF  |  1265678395 in an XML format XML  formats.

NPI Number : 1265678395 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265678395",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEVINE",
    "FirstName": "ELIZABETH",
    "MiddleName": "ROCHELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.ED., LPC-S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BRADLEY",
    "OtherFirstName": "ELIZABETH",
    "OtherMiddleName": "ROCHELLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "821 W 11TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78701-2009",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-765-2668",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "821 W 11TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78701-2009",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-765-2668",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/18/2008",
    "LastUpdateDate": "09/20/2024",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "61456",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.