{
"Npi": {
"NPI": "1144450206",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LANDER",
"FirstName": "ANN",
"MiddleName": "M.K.",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "M.S.W.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LA SORBA",
"OtherFirstName": "DEBRA",
"OtherMiddleName": "ANN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "PO BOX 794",
"SecondLineMailingAddress": "SUITE B",
"MailingAddressCityName": "CARROLL",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "51401-0794",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "712-792-2991",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "608 N COURT ST",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "CARROLL",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "51401-2432",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "712-792-2991",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/22/2009",
"LastUpdateDate": "07/16/2013",
"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": "007357",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "007357",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}