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1306162334 NPI number — KATHERINE MENDAT LIST LPCS

NPI Number: 1306162334
Health Care Provider/Practitioner: KATHERINE MENDAT LIST LPCS

Information about “1306162334” NPI (KATHERINE MENDAT LIST LPCS) exists in 1306162334 in HTML format HTML  |  1306162334 in plain Text format TXT  |  1306162334 in PDF (Portable Document Format) PDF  |  1306162334 in an XML format XML  formats.

NPI Number : 1306162334 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306162334",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LIST",
    "FirstName": "KATHERINE",
    "MiddleName": "MENDAT",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPCS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3913 IRON HORSE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RALEIGH",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27616-5044",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-367-4819",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1020 WASHINGTON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RALEIGH",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27605-1258",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-551-2312",
    "PracticeLocationAddressFaxNumber": "919-516-0057",
    "EnumerationDate": "04/15/2010",
    "LastUpdateDate": "10/09/2023",
    "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": "7867",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "S7876",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "S7867",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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