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1841624921 NPI number — KENDRA METCALF LPC

NPI Number: 1841624921
Health Care Provider/Practitioner: KENDRA METCALF LPC

Information about “1841624921” NPI (KENDRA METCALF LPC) exists in 1841624921 in HTML format HTML  |  1841624921 in plain Text format TXT  |  1841624921 in PDF (Portable Document Format) PDF  |  1841624921 in an XML format XML  formats.

NPI Number : 1841624921 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841624921",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "METCALF",
    "FirstName": "KENDRA",
    "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": "58 DUSTY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIGHLAND",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72542-9484",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "870-847-3453",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "674 ASH FLAT DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ASH FLAT",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72513-9428",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "870-345-1040",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/26/2013",
    "LastUpdateDate": "06/29/2023",
    "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": "A1406085",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "P1707336",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "P1707336",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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