{
"Npi": {
"NPI": "1053803338",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WELSH",
"FirstName": "CHERYL",
"MiddleName": "LYNN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MA, LCPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5416 HOWARD AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WESTERN SPRINGS",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60558-2057",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "312-286-7333",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "201 E OGDEN AVE STE 106",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HINSDALE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60521-3686",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "855-543-7687",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/03/2018",
"LastUpdateDate": "06/03/2018",
"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": "180.007567",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}