NPI Code Detail JSON Logo

1376125724 NPI number — MARIA DE LOURDES MENDICUTI MS LPC NCC

NPI Number: 1376125724
Health Care Provider/Practitioner: MARIA DE LOURDES MENDICUTI MS LPC NCC

Information about “1376125724” NPI (MARIA DE LOURDES MENDICUTI MS LPC NCC) exists in 1376125724 in HTML format HTML  |  1376125724 in plain Text format TXT  |  1376125724 in PDF (Portable Document Format) PDF  |  1376125724 in an XML format XML  formats.

NPI Number : 1376125724 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376125724",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MENDICUTI",
    "FirstName": "MARIA DE LOURDES",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS LPC NCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MENDICUTI",
    "OtherFirstName": "LOURDES",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MS, LPC, NCC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2113 OATFIELD DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77018-1494",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-245-4590",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2113 OATFIELD DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77018-1494",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-245-4590",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/26/2021",
    "LastUpdateDate": "04/26/2021",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "80111",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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