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1912420456 NPI number — EMILY JILL THOMAS LCPC, NCC

NPI Number: 1912420456
Health Care Provider/Practitioner: EMILY JILL THOMAS LCPC, NCC

Information about “1912420456” NPI (EMILY JILL THOMAS LCPC, NCC) exists in 1912420456 in HTML format HTML  |  1912420456 in plain Text format TXT  |  1912420456 in PDF (Portable Document Format) PDF  |  1912420456 in an XML format XML  formats.

NPI Number : 1912420456 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912420456",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THOMAS",
    "FirstName": "EMILY",
    "MiddleName": "JILL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCPC, NCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2243 E 200 N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT ANTHONY",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83445-5602",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-206-3742",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1785 LILY POND CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HENDERSON",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89012-2197",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-206-3742",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/17/2017",
    "LastUpdateDate": "12/09/2024",
    "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": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "LPC-6545",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "13173266-6004",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "LPC-23483",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "CP5540-R",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "LCPC-7599",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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