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1598230484 NPI number — JAMES H HISHMEH JR. LCSW, CSAC, CSIT

NPI Number: 1598230484
Health Care Provider/Practitioner: JAMES H HISHMEH JR. LCSW, CSAC, CSIT

Information about “1598230484” NPI (JAMES H HISHMEH JR. LCSW, CSAC, CSIT) exists in 1598230484 in HTML format HTML  |  1598230484 in plain Text format TXT  |  1598230484 in PDF (Portable Document Format) PDF  |  1598230484 in an XML format XML  formats.

NPI Number : 1598230484 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598230484",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HISHMEH",
    "FirstName": "JAMES",
    "MiddleName": "H",
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": "LCSW, CSAC, CSIT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1230 CORPORATE CENTER DRIVE SUITE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OCONOMOWOC",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53066",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "262-789-1191",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1230 CORPORATE CENTER DR STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCONOMOWOC",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53066-4883",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "262-789-1191",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/08/2018",
    "LastUpdateDate": "10/08/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "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": "15934-132",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "9016-123",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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