1861128530 NPI number — AMBER R JAMES M.ED, LPC, NCC

NPI Number: 1861128530
Health Care Provider/Practitioner: AMBER R JAMES M.ED, LPC, NCC

NPI Number : 1861128530 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861128530",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JAMES",
    "FirstName": "AMBER",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.ED, LPC, NCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JONES",
    "OtherFirstName": "AMBER",
    "OtherMiddleName": "R",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LPCC, NCC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "612 JEMISON GRV APT 312",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLORADO SPRINGS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80915-3685",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-515-0206",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "77 3RD ST STE 400",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MONUMENT",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80132-8179",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "719-259-4951",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/26/2022",
    "LastUpdateDate": "04/16/2024",
    "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": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "MFTC.0014428",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "LPC.0019176",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}