NPI Code Detail JSON Logo

1861115800 NPI number — ILIANA GELLES, LMFT A MARRIAGE AND FAMILY THERAPY PROFESSIONAL COORPOR

NPI Number: 1861115800
Health Care Provider/Practitioner: ILIANA GELLES, LMFT A MARRIAGE AND FAMILY THERAPY PROFESSIONAL COORPOR

Information about “1861115800” NPI (ILIANA GELLES, LMFT A MARRIAGE AND FAMILY THERAPY PROFESSIONAL COORPOR) exists in 1861115800 in HTML format HTML  |  1861115800 in plain Text format TXT  |  1861115800 in PDF (Portable Document Format) PDF  |  1861115800 in an XML format XML  formats.

NPI Number : 1861115800 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861115800",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ILIANA GELLES, LMFT A MARRIAGE AND FAMILY THERAPY PROFESSIONAL COORPOR",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1206",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BUELLTON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93427-1206",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-350-8862",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1693 MISSION DR STE 201B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOLVANG",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93463-2635",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-430-4277",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/23/2022",
    "LastUpdateDate": "10/25/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GELLES",
    "AuthorizedOfficialFirstName": "ILIANA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO MAIN PROVIDER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "805-430-4277",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "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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