NPI Code Detail JSON Logo

1386171551 NPI number — MEGAN REEDY-MCGOVERN LCPC

NPI Number: 1386171551
Health Care Provider/Practitioner: MEGAN REEDY-MCGOVERN LCPC

Information about “1386171551” NPI (MEGAN REEDY-MCGOVERN LCPC) exists in 1386171551 in HTML format HTML  |  1386171551 in plain Text format TXT  |  1386171551 in PDF (Portable Document Format) PDF  |  1386171551 in an XML format XML  formats.

NPI Number : 1386171551 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386171551",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REEDY-MCGOVERN",
    "FirstName": "MEGAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10136 S ARTESIAN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60655-1054",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-320-7769",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "900 RIDGE RD STE 1SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOMEWOOD",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60430-1934",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-794-6511",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/17/2017",
    "LastUpdateDate": "05/17/2017",
    "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": "180006435",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "180006435",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.