NPI Code Detail JSON Logo

1730760042 NPI number — JENNIFER LYNN SMITH LPC

NPI Number: 1730760042
Health Care Provider/Practitioner: JENNIFER LYNN SMITH LPC

Information about “1730760042” NPI (JENNIFER LYNN SMITH LPC) exists in 1730760042 in HTML format HTML  |  1730760042 in plain Text format TXT  |  1730760042 in PDF (Portable Document Format) PDF  |  1730760042 in an XML format XML  formats.

NPI Number : 1730760042 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730760042",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "JENNIFER",
    "MiddleName": "LYNN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4915 N LEONARD DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORRIDGE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60706-2811",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-466-1815",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2060 E ALGONQUIN RD STE 702",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SCHAUMBURG",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60173-4162",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-701-4191",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/19/2021",
    "LastUpdateDate": "04/19/2021",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "178.016679",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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