{
"Npi": {
"NPI": "1073258299",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PACHECO",
"FirstName": "TAMARA",
"MiddleName": "LYNN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LPCC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6955 THUNDER RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MAINEVILLE",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45039-8031",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "513-226-5648",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9435 WATERSTONE BLVD STE 140-46",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CINCINNATI",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45249-8226",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "513-226-5648",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/02/2022",
"LastUpdateDate": "05/02/2022",
"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": "101Y00000X",
"TaxonomyName": "Counselor",
"LicenseNumber": "E.2102661",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}