NPI Code Detail JSON Logo

1538823018 NPI number — ROBYN JOY OZELIS LCPC

NPI Number: 1538823018
Health Care Provider/Practitioner: ROBYN JOY OZELIS LCPC

Information about “1538823018” NPI (ROBYN JOY OZELIS LCPC) exists in 1538823018 in HTML format HTML  |  1538823018 in plain Text format TXT  |  1538823018 in PDF (Portable Document Format) PDF  |  1538823018 in an XML format XML  formats.

NPI Number : 1538823018 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538823018",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OZELIS",
    "FirstName": "ROBYN",
    "MiddleName": "JOY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BIGFORD-OZELIS",
    "OtherFirstName": "ROBYN",
    "OtherMiddleName": "JOY",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LPC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3S636 LORRAINE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WARRENVILLE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60555-3226",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-849-3012",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1000 JORIE BLVD STE 36",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAK BROOK",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60523-4501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-560-1100",
    "PracticeLocationAddressFaxNumber": "630-487-5626",
    "EnumerationDate": "10/29/2021",
    "LastUpdateDate": "01/28/2025",
    "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": "180.016652",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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