NPI Code Detail JSON Logo

1598285488 NPI number — MARVIN NICKLESON BATTLE JR. LPC, LCPC

NPI Number: 1598285488
Health Care Provider/Practitioner: MARVIN NICKLESON BATTLE JR. LPC, LCPC

Information about “1598285488” NPI (MARVIN NICKLESON BATTLE JR. LPC, LCPC) exists in 1598285488 in HTML format HTML  |  1598285488 in plain Text format TXT  |  1598285488 in PDF (Portable Document Format) PDF  |  1598285488 in an XML format XML  formats.

NPI Number : 1598285488 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598285488",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BATTLE",
    "FirstName": "MARVIN",
    "MiddleName": "NICKLESON",
    "NamePrefix": "DR.",
    "NameSuffix": "JR.",
    "Credential": "LPC, LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BATTLE",
    "OtherFirstName": "NICK",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": "JR.",
    "OtherCredential": "LPC, LCPC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "7050 CHESAPEAKE RD STE 104",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HYATTSVILLE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20784-2345",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-660-7431",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7050 CHESAPEAKE RD STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HYATTSVILLE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20784-2345",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-660-7431",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/22/2017",
    "LastUpdateDate": "10/02/2018",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "LC8163",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "PRC14935",
          "LicenseNumberStateCode": "DC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "PRC14935",
          "LicenseNumberStateCode": "DC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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