{
"Npi": {
"NPI": "1124206271",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BINNIX",
"FirstName": "LES",
"MiddleName": "A",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PMHNP, LPCMH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "685 CARLSBAD CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LUSBY",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20657-4822",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-438-8548",
"MailingAddressFaxNumber": "410-630-3690",
"FirstLinePracticeLocationAddress": "685 CARLSBAD CT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LUSBY",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20657-4822",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-438-8548",
"PracticeLocationAddressFaxNumber": "410-630-3690",
"EnumerationDate": "01/31/2008",
"LastUpdateDate": "10/12/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "PMH1280",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "PC0000419",
"LicenseNumberStateCode": "DE",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "R241003",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}