NPI Code Detail JSON Logo

1609672500 NPI number — MYCAH JANELLE HOAGLIN LCPC

NPI Number: 1609672500
Health Care Provider/Practitioner: MYCAH JANELLE HOAGLIN LCPC

Information about “1609672500” NPI (MYCAH JANELLE HOAGLIN LCPC) exists in 1609672500 in HTML format HTML  |  1609672500 in plain Text format TXT  |  1609672500 in PDF (Portable Document Format) PDF  |  1609672500 in an XML format XML  formats.

NPI Number : 1609672500 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609672500",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOAGLIN",
    "FirstName": "MYCAH",
    "MiddleName": "JANELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1832 S RACINE AVE APT 2F",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60608-3214",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-285-7487",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "938 N CALIFORNIA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60622-4462",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "312-620-0408",
    "PracticeLocationAddressFaxNumber": "312-248-2595",
    "EnumerationDate": "02/21/2025",
    "LastUpdateDate": "02/21/2025",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "180.01683",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.