1346651965 NPI number — DENISE ESLINGER LPCC-S, LSW, NCSP

NPI Number: 1346651965
Health Care Provider/Practitioner: DENISE ESLINGER LPCC-S, LSW, NCSP

NPI Number : 1346651965 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346651965",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ESLINGER",
    "FirstName": "DENISE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPCC-S, LSW, NCSP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10312 ELLIMAN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MANTUA",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44255",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "440-476-6636",
    "MailingAddressFaxNumber": "440-748-7016",
    "FirstLinePracticeLocationAddress": "10312 ELLIMAN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MANTUA",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44255-9482",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "440-476-6636",
    "PracticeLocationAddressFaxNumber": "440-748-7016",
    "EnumerationDate": "05/16/2014",
    "LastUpdateDate": "05/16/2014",
    "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": "E0002637-SUPV",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "103TS0200X",
          "TaxonomyName": "School Psychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "S-001713",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}