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1992124630 NPI number — BRANDALYN KEMP LPCC

NPI Number: 1992124630
Health Care Provider/Practitioner: BRANDALYN KEMP LPCC

Information about “1992124630” NPI (BRANDALYN KEMP LPCC) exists in 1992124630 in HTML format HTML  |  1992124630 in plain Text format TXT  |  1992124630 in PDF (Portable Document Format) PDF  |  1992124630 in an XML format XML  formats.

NPI Number : 1992124630 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992124630",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KEMP",
    "FirstName": "BRANDALYN",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LPCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4136 NEW RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YOUNGSTOWN",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44515-4631",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4136 NEW RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YOUNGSTOWN",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44515-4631",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "330-397-8870",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/09/2014",
    "LastUpdateDate": "09/12/2019",
    "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": "C.1000484",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "C.1000484",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "C.1000484",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "E.1801001",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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