1982079588 NPI number — MARSHA LYNNE ROSINSKI MA, LPC, NCC, SCL

NPI Number: 1982079588
Health Care Provider/Practitioner: MARSHA LYNNE ROSINSKI MA, LPC, NCC, SCL

NPI Number : 1982079588 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982079588",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROSINSKI",
    "FirstName": "MARSHA",
    "MiddleName": "LYNNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, LPC, NCC, SCL",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DALLAS",
    "OtherFirstName": "MARSHA",
    "OtherMiddleName": "LYNNE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MA, LPC, SCL, NCC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9458 CLAY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TRAVERSE CITY",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49684-9283",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "231-360-1592",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1212 VETERANS DR STE 206",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TRAVERSE CITY",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49684-4734",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "231-818-8483",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/08/2015",
    "LastUpdateDate": "08/16/2024",
    "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": "101YS0200X",
          "TaxonomyName": "School Counselor",
          "LicenseNumber": "SC0000459",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "L869068",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}