{
"Npi": {
"NPI": "1164897716",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BECK",
"FirstName": "MELANIE",
"MiddleName": "CODERRE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LMHC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DESROSIER",
"OtherFirstName": "MELANIE",
"OtherMiddleName": "CODERRE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "71 BOARDMAN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "POUGHKEEPSIE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12603-4216",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "845-218-1162",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "137 N CHESTNUT ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW PALTZ",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12561-1023",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "845-419-0850",
"PracticeLocationAddressFaxNumber": "845-419-0852",
"EnumerationDate": "12/08/2015",
"LastUpdateDate": "01/19/2022",
"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": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "LIMITED PERMIT",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "008533-01",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}