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1659776037 NPI number — SUSAN MCNAMARA LPC, LISAC

NPI Number: 1659776037
Health Care Provider/Practitioner: SUSAN MCNAMARA LPC, LISAC

Information about “1659776037” NPI (SUSAN MCNAMARA LPC, LISAC) exists in 1659776037 in HTML format HTML  |  1659776037 in plain Text format TXT  |  1659776037 in PDF (Portable Document Format) PDF  |  1659776037 in an XML format XML  formats.

NPI Number : 1659776037 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659776037",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCNAMARA",
    "FirstName": "SUSAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC, LISAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MCNAMARA",
    "OtherFirstName": "SCOUT",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "6417 N 52ND PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PARADISE VALLEY",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85253-4158",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "602-692-7649",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6417 N 52ND PL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PARADISE VALLEY",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85253-4158",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-692-7649",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/28/2014",
    "LastUpdateDate": "10/28/2014",
    "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": "LISAC10835",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "LPC10338",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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