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1396602405 NPI number — JAROLYN M JOHNSON MA LMFT

NPI Number: 1396602405
Health Care Provider/Practitioner: JAROLYN M JOHNSON MA LMFT

Information about “1396602405” NPI (JAROLYN M JOHNSON MA LMFT) exists in 1396602405 in HTML format HTML  |  1396602405 in plain Text format TXT  |  1396602405 in PDF (Portable Document Format) PDF  |  1396602405 in an XML format XML  formats.

NPI Number : 1396602405 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396602405",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JAROLYN M JOHNSON MA LMFT",
    "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": "6116 S LYNCREST AVE STE 103",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SIOUX FALLS",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57108-2576",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "605-695-7603",
    "MailingAddressFaxNumber": "605-305-3624",
    "FirstLinePracticeLocationAddress": "6116 S LYNCREST AVE STE 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SIOUX FALLS",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57108-2576",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-695-7603",
    "PracticeLocationAddressFaxNumber": "605-305-3624",
    "EnumerationDate": "01/08/2026",
    "LastUpdateDate": "01/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JOHNSON",
    "AuthorizedOfficialFirstName": "JAROLYN",
    "AuthorizedOfficialMiddleName": "MARIE",
    "AuthorizedOfficialTitle": "AUTHORIZED OFFICIAL AND OWNER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MA, LMFT, QMHP",
    "AuthorizedOfficialTelephoneNumber": "605-695-7603",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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