{
"Npi": {
"NPI": "1164066833",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ZABINSKI",
"FirstName": "REBECCA",
"MiddleName": "A",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MA, LSC, LPCC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "GALLEGOS",
"OtherFirstName": "REBECCA",
"OtherMiddleName": "A",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "5333 JAMES AVE N",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BROOKLYN CENTER",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55430-3049",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "612-599-3119",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7066 STILLWATER BLVD N",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OAKDALE",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55128-3937",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "651-777-5222",
"PracticeLocationAddressFaxNumber": "651-415-6275",
"EnumerationDate": "11/05/2019",
"LastUpdateDate": "11/05/2019",
"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": "CC02194",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}