1306122502 NPI number — WILLIAM LEIGH ATHERTON PHD, LPC, LCAS, CCS

NPI Number: 1306122502
Health Care Provider/Practitioner: WILLIAM LEIGH ATHERTON PHD, LPC, LCAS, CCS

NPI Number : 1306122502 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306122502",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ATHERTON",
    "FirstName": "WILLIAM",
    "MiddleName": "LEIGH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHD, LPC, LCAS, CCS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2867 LITTLE GEM CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINTERVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28590-7910",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "857-498-2512",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "313 CLIFTON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27858-5008",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "857-498-2512",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/01/2011",
    "LastUpdateDate": "06/04/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "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": "1567",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "7831",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}