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1831280544 NPI number — MARY J MERCURIO LMHC, LCDP

NPI Number: 1831280544
Health Care Provider/Practitioner: MARY J MERCURIO LMHC, LCDP

Information about “1831280544” NPI (MARY J MERCURIO LMHC, LCDP) exists in 1831280544 in HTML format HTML  |  1831280544 in plain Text format TXT  |  1831280544 in PDF (Portable Document Format) PDF  |  1831280544 in an XML format XML  formats.

NPI Number : 1831280544 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831280544",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MERCURIO",
    "FirstName": "MARY",
    "MiddleName": "J",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LMHC, LCDP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MERCURIO",
    "OtherFirstName": "MARY",
    "OtherMiddleName": "J",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LMHC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "11 BLUEBERRY LANE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CRANSTON",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02921",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "401-943-0000",
    "MailingAddressFaxNumber": "401-943-0314",
    "FirstLinePracticeLocationAddress": "75 SOCKANOSSET CROSS ROAD",
    "SecondLinePracticeLocationAddress": "SUITE 208",
    "PracticeLocationAddressCityName": "CRANSTON",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02920",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "401-398-1963",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/27/2006",
    "LastUpdateDate": "05/26/2011",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "LCDP00288",
          "LicenseNumberStateCode": "RI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "LCDP 288",
          "LicenseNumberStateCode": "RI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "MHC 000287",
          "LicenseNumberStateCode": "RI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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