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1356648539 NPI number — STACEY J. BEISEL, LCPC, P.C.

NPI Number: 1356648539
Health Care Provider/Practitioner: STACEY J. BEISEL, LCPC, P.C.

Information about “1356648539” NPI (STACEY J. BEISEL, LCPC, P.C.) exists in 1356648539 in HTML format HTML  |  1356648539 in plain Text format TXT  |  1356648539 in PDF (Portable Document Format) PDF  |  1356648539 in an XML format XML  formats.

NPI Number : 1356648539 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356648539",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "STACEY J. BEISEL, LCPC, P.C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "60 S STATE ROUTE 157",
    "SecondLineMailingAddress": "SUITE 18",
    "MailingAddressCityName": "EDWARDSVILLE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62025-3846",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "618-580-5708",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "60 S STATE ROUTE 157",
    "SecondLinePracticeLocationAddress": "SUITE 18",
    "PracticeLocationAddressCityName": "EDWARDSVILLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62025-3846",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "618-580-5708",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/23/2011",
    "LastUpdateDate": "01/08/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BEISEL",
    "AuthorizedOfficialFirstName": "STACEY",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "LICENSED CLINICAL PROFESSIONAL COUN",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS",
    "AuthorizedOfficialTelephoneNumber": "618-580-5708",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "180.1004316",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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