NPI Code Detail JSON Logo

1780514547 NPI number — IAN KLOSS LPC, LCMHC

NPI Number: 1780514547
Health Care Provider/Practitioner: IAN KLOSS LPC, LCMHC

Information about “1780514547” NPI (IAN KLOSS LPC, LCMHC) exists in 1780514547 in HTML format HTML  |  1780514547 in plain Text format TXT  |  1780514547 in PDF (Portable Document Format) PDF  |  1780514547 in an XML format XML  formats.

NPI Number : 1780514547 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780514547",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KLOSS",
    "FirstName": "IAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC, LCMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "91 GREYMONT LN APT 304",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ASHEVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28806-0270",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "864-420-5941",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "158 ZILLICOA ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ASHEVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28801-1079",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "828-250-9494",
    "PracticeLocationAddressFaxNumber": "828-250-0890",
    "EnumerationDate": "05/21/2026",
    "LastUpdateDate": "05/21/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "10995",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "22742",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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