NPI Code Detail JSON Logo

1912053174 NPI number — KRISTEN SARAH THOMAS MS, LLP, LPCC

NPI Number: 1912053174
Health Care Provider/Practitioner: KRISTEN SARAH THOMAS MS, LLP, LPCC

Information about “1912053174” NPI (KRISTEN SARAH THOMAS MS, LLP, LPCC) exists in 1912053174 in HTML format HTML  |  1912053174 in plain Text format TXT  |  1912053174 in PDF (Portable Document Format) PDF  |  1912053174 in an XML format XML  formats.

NPI Number : 1912053174 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912053174",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THOMAS",
    "FirstName": "KRISTEN",
    "MiddleName": "SARAH",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MS, LLP, LPCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MCCLELLAN",
    "OtherFirstName": "KRISTEN",
    "OtherMiddleName": "SARAH",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MS, LLP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1481 S TRAIL CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FARIBAULT",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55021-7071",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-673-9190",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "38875 LYNDON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LIVONIA",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48154",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-673-9190",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/28/2007",
    "LastUpdateDate": "07/12/2018",
    "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": "CC00084",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "6301012278",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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