{
"Npi": {
"NPI": "1144416322",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SCHUBERT",
"FirstName": "CARRIE",
"MiddleName": "G",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MASTRONARDE",
"OtherFirstName": "CARRIE",
"OtherMiddleName": "G",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "17 E SAINT JOSEPH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PERRYVILLE",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63775-2016",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "573-517-3951",
"MailingAddressFaxNumber": "866-517-0663",
"FirstLinePracticeLocationAddress": "17 E SAINT JOSEPH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PERRYVILLE",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63775-2016",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "573-517-3951",
"PracticeLocationAddressFaxNumber": "866-517-0663",
"EnumerationDate": "09/20/2007",
"LastUpdateDate": "03/01/2022",
"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": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "2006009196",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}