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1366814170 NPI number — ALENA MARTIROS LMHC

NPI Number: 1366814170
Health Care Provider/Practitioner: ALENA MARTIROS LMHC

Information about “1366814170” NPI (ALENA MARTIROS LMHC) exists in 1366814170 in HTML format HTML  |  1366814170 in plain Text format TXT  |  1366814170 in PDF (Portable Document Format) PDF  |  1366814170 in an XML format XML  formats.

NPI Number : 1366814170 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366814170",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTIROS",
    "FirstName": "ALENA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 544",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LUNENBURG",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01462-0544",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "978-403-0248",
    "MailingAddressFaxNumber": "978-393-1252",
    "FirstLinePracticeLocationAddress": "71 MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTMINSTER",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01473-1472",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "978-403-0248",
    "PracticeLocationAddressFaxNumber": "978-393-1252",
    "EnumerationDate": "10/20/2015",
    "LastUpdateDate": "03/02/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "06/01/2016",
    "NPIReactivationDate": "09/15/2017",
    "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": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "10202",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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