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1679268106 NPI number — CHRISTINE M IVIE LPC - 815

NPI Number: 1679268106
Health Care Provider/Practitioner: CHRISTINE M IVIE LPC - 815

Information about “1679268106” NPI (CHRISTINE M IVIE LPC - 815) exists in 1679268106 in HTML format HTML  |  1679268106 in plain Text format TXT  |  1679268106 in PDF (Portable Document Format) PDF  |  1679268106 in an XML format XML  formats.

NPI Number : 1679268106 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679268106",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "IVIE",
    "FirstName": "CHRISTINE",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC - 815",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "IVIE",
    "OtherFirstName": "CHRISTINE",
    "OtherMiddleName": "M",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "SUPERINTENDENT",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "41 NORTHRIDGE WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JEROME",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83338-6200",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-871-7749",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "41 NORTHRIDGE WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JEROME",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83338-6200",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-871-7749",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/10/2023",
    "LastUpdateDate": "04/10/2023",
    "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": "LPC-815",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YS0200X",
          "TaxonomyName": "School Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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