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1306494083 NPI number — SCOTT WILLIAM WALTERS M.A., LMHCA

NPI Number: 1306494083
Health Care Provider/Practitioner: SCOTT WILLIAM WALTERS M.A., LMHCA

Information about “1306494083” NPI (SCOTT WILLIAM WALTERS M.A., LMHCA) exists in 1306494083 in HTML format HTML  |  1306494083 in plain Text format TXT  |  1306494083 in PDF (Portable Document Format) PDF  |  1306494083 in an XML format XML  formats.

NPI Number : 1306494083 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306494083",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALTERS",
    "FirstName": "SCOTT",
    "MiddleName": "WILLIAM",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "M.A., LMHCA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6521 23RD AVE NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEATTLE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98115-7031",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "206-554-1943",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "14715 BEL-RED RD",
    "SecondLinePracticeLocationAddress": "STE 102",
    "PracticeLocationAddressCityName": "BELLEVUE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98007-3940",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-554-1943",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/27/2019",
    "LastUpdateDate": "08/27/2019",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "MC60570305",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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