NPI Code Detail JSON Logo

1659214641 NPI number — MADYSON BELLAROSE CONTRERAS-PERRIN LPC-IT

NPI Number: 1659214641
Health Care Provider/Practitioner: MADYSON BELLAROSE CONTRERAS-PERRIN LPC-IT

Information about “1659214641” NPI (MADYSON BELLAROSE CONTRERAS-PERRIN LPC-IT) exists in 1659214641 in HTML format HTML  |  1659214641 in plain Text format TXT  |  1659214641 in PDF (Portable Document Format) PDF  |  1659214641 in an XML format XML  formats.

NPI Number : 1659214641 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659214641",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CONTRERAS-PERRIN",
    "FirstName": "MADYSON",
    "MiddleName": "BELLAROSE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC-IT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4922 COLUMBIA RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CEDARBURG",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53012-9188",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "262-376-7774",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4922 COLUMBIA RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CEDARBURG",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53012-9188",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "262-376-7774",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/13/2026",
    "LastUpdateDate": "04/13/2026",
    "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": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": "8902-226",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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