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1770105306 NPI number — CARRIE IMOEHL LPC

NPI Number: 1770105306
Health Care Provider/Practitioner: CARRIE IMOEHL LPC

Information about “1770105306” NPI (CARRIE IMOEHL LPC) exists in 1770105306 in HTML format HTML  |  1770105306 in plain Text format TXT  |  1770105306 in PDF (Portable Document Format) PDF  |  1770105306 in an XML format XML  formats.

NPI Number : 1770105306 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770105306",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "IMOEHL",
    "FirstName": "CARRIE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3813 S BROOK PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ST FRANCIS",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53235-4205",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "262-510-5381",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4848 S 76TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENFIELD",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53220-4361",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "262-510-2838",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/18/2020",
    "LastUpdateDate": "04/07/2025",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "8442-125",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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