1952859886 NPI number — JOANN L WESTON M.A.,L.P.C.

NPI Number: 1952859886
Health Care Provider/Practitioner: JOANN L WESTON M.A.,L.P.C.

NPI Number : 1952859886 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952859886",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WESTON",
    "FirstName": "JOANN",
    "MiddleName": "L",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.A.,L.P.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WILSON",
    "OtherFirstName": "JOANN",
    "OtherMiddleName": "L.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MA, LPC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1430 OLIVE ST STE 400",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT LOUIS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63103-2303",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-206-3700",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "608 PINE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FARMINGTON",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63640-3020",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "573-701-1395",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/20/2016",
    "LastUpdateDate": "11/28/2023",
    "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": "2014004873",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "2014004873",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}