{
"Npi": {
"NPI": "1083197842",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LM COUNSELING SERVICES, PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5616 FM 1960 RD E STE 216",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HUMBLE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77346-2738",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "281-299-9148",
"MailingAddressFaxNumber": "281-446-5727",
"FirstLinePracticeLocationAddress": "5616 FM 1960 RD E STE 216",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HUMBLE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77346-2738",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "281-299-9148",
"PracticeLocationAddressFaxNumber": "281-446-5727",
"EnumerationDate": "09/07/2018",
"LastUpdateDate": "09/07/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MITCHELL",
"AuthorizedOfficialFirstName": "LILIA",
"AuthorizedOfficialMiddleName": "ELVIR",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LPC-S, DPC",
"AuthorizedOfficialTelephoneNumber": "281-323-1494",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "62908",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}