NPI Code Detail JSON Logo

1659531911 NPI number — DAWN MARIE RIST-OPAL LPCC-S, LICDS-CS

NPI Number: 1659531911
Health Care Provider/Practitioner: DAWN MARIE RIST-OPAL LPCC-S, LICDS-CS

Information about “1659531911” NPI (DAWN MARIE RIST-OPAL LPCC-S, LICDS-CS) exists in 1659531911 in HTML format HTML  |  1659531911 in plain Text format TXT  |  1659531911 in PDF (Portable Document Format) PDF  |  1659531911 in an XML format XML  formats.

NPI Number : 1659531911 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659531911",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RIST-OPAL",
    "FirstName": "DAWN",
    "MiddleName": "MARIE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LPCC-S, LICDS-CS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RIST",
    "OtherFirstName": "DAWN",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LPCC-S LICDC-CS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7580 NORTHCLIFF AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLYN",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44144-3270",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "216-206-7000",
    "MailingAddressFaxNumber": "216-206-6472",
    "FirstLinePracticeLocationAddress": "7580 NORTHCLIFF AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKLYN",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44144-3270",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "216-206-7000",
    "PracticeLocationAddressFaxNumber": "216-206-6472",
    "EnumerationDate": "06/11/2008",
    "LastUpdateDate": "01/09/2025",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "LICDC.965797",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "E.0002387 SUPV",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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