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1801142799 NPI number — AIDA IRIS DIAZ-LA CILENTO LPC

NPI Number: 1801142799
Health Care Provider/Practitioner: AIDA IRIS DIAZ-LA CILENTO LPC

Information about “1801142799” NPI (AIDA IRIS DIAZ-LA CILENTO LPC) exists in 1801142799 in HTML format HTML  |  1801142799 in plain Text format TXT  |  1801142799 in PDF (Portable Document Format) PDF  |  1801142799 in an XML format XML  formats.

NPI Number : 1801142799 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801142799",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DIAZ-LA CILENTO",
    "FirstName": "AIDA",
    "MiddleName": "IRIS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DIAZ",
    "OtherFirstName": "AIDA",
    "OtherMiddleName": "IRIS",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LPC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "114 W MAIN ST STE 302",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW BRITAIN",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06051-4223",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-803-3143",
    "MailingAddressFaxNumber": "860-271-8312",
    "FirstLinePracticeLocationAddress": "114 W MAIN ST STE 302",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW BRITAIN",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06051-4223",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "860-390-1383",
    "PracticeLocationAddressFaxNumber": "860-271-8312",
    "EnumerationDate": "07/27/2012",
    "LastUpdateDate": "03/04/2025",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "002692",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "2692",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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