NPI Code Detail JSON Logo

1548793938 NPI number — LISA MARIE SOLEYMANI-ALIZADEH MS, LPC

NPI Number: 1548793938
Health Care Provider/Practitioner: LISA MARIE SOLEYMANI-ALIZADEH MS, LPC

Information about “1548793938” NPI (LISA MARIE SOLEYMANI-ALIZADEH MS, LPC) exists in 1548793938 in HTML format HTML  |  1548793938 in plain Text format TXT  |  1548793938 in PDF (Portable Document Format) PDF  |  1548793938 in an XML format XML  formats.

NPI Number : 1548793938 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548793938",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SOLEYMANI-ALIZADEH",
    "FirstName": "LISA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS, LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BURKS",
    "OtherFirstName": "LISA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "18405 KRISTI RD E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LIBERTY",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64068-8567",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "816-200-7087",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "18405 KRISTI RD E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LIBERTY",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64068-8567",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "816-200-7087",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/04/2017",
    "LastUpdateDate": "11/09/2023",
    "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": "03500",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "2018030575",
          "LicenseNumberStateCode": "MO",
          "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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