NPI Code Detail JSON Logo

1366836421 NPI number — ALEXIS SHARON LPC CADC

NPI Number: 1366836421
Health Care Provider/Practitioner: ALEXIS SHARON LPC CADC

Information about “1366836421” NPI (ALEXIS SHARON LPC CADC) exists in 1366836421 in HTML format HTML  |  1366836421 in plain Text format TXT  |  1366836421 in PDF (Portable Document Format) PDF  |  1366836421 in an XML format XML  formats.

NPI Number : 1366836421 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366836421",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHARON",
    "FirstName": "ALEXIS",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC CADC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "121 W. CHESTNUT",
    "SecondLineMailingAddress": "APT #2903",
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60610",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-635-7385",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "70 E LAKE ST",
    "SecondLinePracticeLocationAddress": "222",
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60601-5959",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-635-7385",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/26/2015",
    "LastUpdateDate": "03/26/2015",
    "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": "178010816",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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