{
"Npi": {
"NPI": "1083742951",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WALDSCHMIDT",
"FirstName": "KAYLA",
"MiddleName": "MARGARET",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MSE",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LACKAS",
"OtherFirstName": "KAYLA",
"OtherMiddleName": "MARGARET",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MSE",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "960 MARY LN",
"SecondLineMailingAddress": "APT. 5",
"MailingAddressCityName": "LOMIRA",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53048-9569",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "920-360-7062",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1200 N CENTER ST",
"SecondLinePracticeLocationAddress": "LOWER LEVEL-SUITE A",
"PracticeLocationAddressCityName": "BEAVER DAM",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53916-1166",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "920-887-3172",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/01/2007",
"LastUpdateDate": "07/08/2007",
"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": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}