1871764704 NPI number — MARITESS A MYERS LPC, LMFT, LCDC, NCC

NPI Number: 1871764704
Health Care Provider/Practitioner: MARITESS A MYERS LPC, LMFT, LCDC, NCC

NPI Number : 1871764704 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871764704",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MYERS",
    "FirstName": "MARITESS",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC, LMFT, LCDC, NCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "590 MEDIAL CENTER ROAD BLDG 36065",
    "SecondLineMailingAddress": "CARL R. DARNALL ARMY COMMUNITY HOSPITAL",
    "MailingAddressCityName": "FORT CAVAZOS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76544",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "254-553-6640",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "590 MEDIAL CENTER ROAD BLDG 36065",
    "SecondLinePracticeLocationAddress": "CARL R. DARNALL ARMY COMMUNITY HOSPITAL",
    "PracticeLocationAddressCityName": "FORT HOOD",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76544",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "542-553-6640",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/19/2008",
    "LastUpdateDate": "06/26/2025",
    "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": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "871",
          "LicenseNumberStateCode": "WY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "146",
          "LicenseNumberStateCode": "WY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "9858",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}