1598010100 NPI number — BETHANNE SWICK L.P.C.C.-S.

NPI Number: 1598010100
Health Care Provider/Practitioner: BETHANNE SWICK L.P.C.C.-S.

NPI Number : 1598010100 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598010100",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SWICK",
    "FirstName": "BETHANNE",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "L.P.C.C.-S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1100 BEECHER XING N STE C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GAHANNA",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43230-4565",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "614-459-4990",
    "MailingAddressFaxNumber": "833-450-0907",
    "FirstLinePracticeLocationAddress": "62 WESTERVIEW DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTERVILLE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43081-2682",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "614-459-4490",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/19/2012",
    "LastUpdateDate": "08/08/2025",
    "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": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "C8314",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "E0008314SUPV",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}