{
"Npi": {
"NPI": "1174144646",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GLASPER",
"FirstName": "CHRISTINE",
"MiddleName": "ELISE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LPC, SCL",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "JACKSON",
"OtherFirstName": "CHRISTINE",
"OtherMiddleName": "ELISE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LPC, SCL",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "19 RUTH AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PONTIAC",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48341-1925",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "248-895-2750",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "19 RUTH AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PONTIAC",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48341-1925",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "248-895-2750",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/06/2020",
"LastUpdateDate": "05/06/2020",
"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": "101YS0200X",
"TaxonomyName": "School Counselor",
"LicenseNumber": "IF0000000336251",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "6401012053",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}