NPI Code Detail JSON Logo

1598101800 NPI number — BREEZI SHARPE-JUSTICE LPC

NPI Number: 1598101800
Health Care Provider/Practitioner: BREEZI SHARPE-JUSTICE LPC

Information about “1598101800” NPI (BREEZI SHARPE-JUSTICE LPC) exists in 1598101800 in HTML format HTML  |  1598101800 in plain Text format TXT  |  1598101800 in PDF (Portable Document Format) PDF  |  1598101800 in an XML format XML  formats.

NPI Number : 1598101800 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598101800",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHARPE-JUSTICE",
    "FirstName": "BREEZI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5017 KELSO ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUFFOLK",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23435-2555",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-513-8268",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "739 HIGH ST STE 112",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTSMOUTH",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23704-3425",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-770-4717",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/14/2013",
    "LastUpdateDate": "10/27/2024",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "0709025344",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "0701007534",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "222Q00000X",
          "TaxonomyName": "Developmental Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "0701007534",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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