{
"Npi": {
"NPI": "1033752423",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "JOINER",
"FirstName": "CHELSEY",
"MiddleName": "LYNN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CADC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "302 NE 14TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEON",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "50144-1206",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "641-446-2383",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "221 E STATE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CENTERVILLE",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "52544-1813",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "641-856-6471",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/18/2019",
"LastUpdateDate": "03/07/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": "02/05/2025",
"NPIReactivationDate": "03/07/2025",
"GenderCode": "F",
"Gender": "Female",
"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": "19043",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}