NPI Code Detail JSON Logo

1912445354 NPI number — JOSEPH MORELL LCDC 111

NPI Number: 1912445354
Health Care Provider/Practitioner: JOSEPH MORELL LCDC 111

Information about “1912445354” NPI (JOSEPH MORELL LCDC 111) exists in 1912445354 in HTML format HTML  |  1912445354 in plain Text format TXT  |  1912445354 in PDF (Portable Document Format) PDF  |  1912445354 in an XML format XML  formats.

NPI Number : 1912445354 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912445354",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MORELL",
    "FirstName": "JOSEPH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCDC 111",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5211 MAHONING AVE STE 370",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUSTINTOWN",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44515-1853",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "330-792-4724",
    "MailingAddressFaxNumber": "330-792-1848",
    "FirstLinePracticeLocationAddress": "5211 MAHONING AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUSTINTOWN",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44515-2334",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "330-792-4724",
    "PracticeLocationAddressFaxNumber": "330-792-1848",
    "EnumerationDate": "02/06/2017",
    "LastUpdateDate": "02/06/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": "111038",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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