NPI Code Detail JSON Logo

1558664466 NPI number — ERIKA JANET DIAZ MS LPC

NPI Number: 1558664466
Health Care Provider/Practitioner: ERIKA JANET DIAZ MS LPC

Information about “1558664466” NPI (ERIKA JANET DIAZ MS LPC) exists in 1558664466 in HTML format HTML  |  1558664466 in plain Text format TXT  |  1558664466 in PDF (Portable Document Format) PDF  |  1558664466 in an XML format XML  formats.

NPI Number : 1558664466 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558664466",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DIAZ",
    "FirstName": "ERIKA",
    "MiddleName": "JANET",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2220 W HOUSTON ST STE E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROKEN ARROW",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74012-3504",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-381-3749",
    "MailingAddressFaxNumber": "539-399-7570",
    "FirstLinePracticeLocationAddress": "5310 E 31ST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TULSA",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74135-5012",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-381-3749",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/15/2010",
    "LastUpdateDate": "07/05/2024",
    "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": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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