{
"Npi": {
"NPI": "1093124018",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ERIN TATUM MA, LPC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "613 FOX GLN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FORNEY",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75126-4775",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-232-2265",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "613 FOX GLN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FORNEY",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75126-4775",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "214-232-2265",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/04/2014",
"LastUpdateDate": "08/04/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JAMES",
"AuthorizedOfficialFirstName": "ERIN",
"AuthorizedOfficialMiddleName": "TATUM",
"AuthorizedOfficialTitle": "LICENSED PROFESSIONAL COUNSELOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MA, LPC",
"AuthorizedOfficialTelephoneNumber": "214-232-2265",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "63911",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}