NPI Code Detail JSON Logo

1881375947 NPI number — ELISSA LEIGH FARRAR WINZENBURG M.S., NCC, LPC-MHSP

NPI Number: 1881375947
Health Care Provider/Practitioner: ELISSA LEIGH FARRAR WINZENBURG M.S., NCC, LPC-MHSP

Information about “1881375947” NPI (ELISSA LEIGH FARRAR WINZENBURG M.S., NCC, LPC-MHSP) exists in 1881375947 in HTML format HTML  |  1881375947 in plain Text format TXT  |  1881375947 in PDF (Portable Document Format) PDF  |  1881375947 in an XML format XML  formats.

NPI Number : 1881375947 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881375947",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WINZENBURG",
    "FirstName": "ELISSA",
    "MiddleName": "LEIGH FARRAR",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S., NCC, LPC-MHSP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FARRAR",
    "OtherFirstName": "ELISSA",
    "OtherMiddleName": "LEIGH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3350 WHITE WING RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LENOIR CITY",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37771-7403",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-428-5909",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10414 JACKSON OAKS WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KNOXVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37922-0703",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-428-5909",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/31/2023",
    "LastUpdateDate": "08/02/2025",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "6825",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.