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1629752415 NPI number — KIMBERLEE J CARPENTER-MCKINNERNEY M.A., LPC

NPI Number: 1629752415
Health Care Provider/Practitioner: KIMBERLEE J CARPENTER-MCKINNERNEY M.A., LPC

Information about “1629752415” NPI (KIMBERLEE J CARPENTER-MCKINNERNEY M.A., LPC) exists in 1629752415 in HTML format HTML  |  1629752415 in plain Text format TXT  |  1629752415 in PDF (Portable Document Format) PDF  |  1629752415 in an XML format XML  formats.

NPI Number : 1629752415 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629752415",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARPENTER-MCKINNERNEY",
    "FirstName": "KIMBERLEE",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.A., LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 MAIN ST STE A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRINGFIELD",
    "MailingAddressStateName": "VT",
    "MailingAddressPostalCode": "05156-2935",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-565-7743",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "106 AUSTIN AVE STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEATHERFORD",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76086-3381",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-565-7743",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/12/2023",
    "LastUpdateDate": "04/24/2025",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "097.0135752",
          "LicenseNumberStateCode": "VT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "90673",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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