NPI Code Detail JSON Logo

1578914917 NPI number — KY PHOENIX JONES LMHC

NPI Number: 1578914917
Health Care Provider/Practitioner: KY PHOENIX JONES LMHC

Information about “1578914917” NPI (KY PHOENIX JONES LMHC) exists in 1578914917 in HTML format HTML  |  1578914917 in plain Text format TXT  |  1578914917 in PDF (Portable Document Format) PDF  |  1578914917 in an XML format XML  formats.

NPI Number : 1578914917 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578914917",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JONES",
    "FirstName": "KY",
    "MiddleName": "PHOENIX",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROMERO",
    "OtherFirstName": "KYLEE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "51-636 KAMEHAMEHA HWY APT 523",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KAAAWA",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96730-9827",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-203-9609",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "875 WAIMANU ST STE 612",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HONOLULU",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96813-5267",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-791-6713",
    "PracticeLocationAddressFaxNumber": "808-791-6081",
    "EnumerationDate": "06/27/2016",
    "LastUpdateDate": "09/11/2025",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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