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1316521933 NPI number — ARIEL B MENDELSON LPCC

NPI Number: 1316521933
Health Care Provider/Practitioner: ARIEL B MENDELSON LPCC

Information about “1316521933” NPI (ARIEL B MENDELSON LPCC) exists in 1316521933 in HTML format HTML  |  1316521933 in plain Text format TXT  |  1316521933 in PDF (Portable Document Format) PDF  |  1316521933 in an XML format XML  formats.

NPI Number : 1316521933 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316521933",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MENDELSON",
    "FirstName": "ARIEL",
    "MiddleName": "B",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COHEN",
    "OtherFirstName": "ARIEL",
    "OtherMiddleName": "B",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MS, PPS, APCC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3515 MARICOPA ST UNIT 4",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TORRANCE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90503-7515",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-617-9067",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3515 MARICOPA ST UNIT 4",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TORRANCE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90503-7515",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-347-7553",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/10/2021",
    "LastUpdateDate": "09/16/2024",
    "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": "17039",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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