{
"Npi": {
"NPI": "1003240755",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ZIPAY",
"FirstName": "DANIELLE",
"MiddleName": "R",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LLPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MATZKA",
"OtherFirstName": "DANIELLE",
"OtherMiddleName": "R",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "36030 SAINT CLAIR DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW BALTIMORE",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48047-5521",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "810-278-2620",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1460 WALTON BLVD",
"SecondLinePracticeLocationAddress": "SUITE 218",
"PracticeLocationAddressCityName": "ROCHESTER HILLS",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48309-1768",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "810-278-2620",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/29/2013",
"LastUpdateDate": "08/29/2013",
"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": "6401013795",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}