{
"Npi": {
"NPI": "1215205885",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HILL",
"FirstName": "URAL",
"MiddleName": "HEYWOOD",
"NamePrefix": "DR.",
"NameSuffix": "JR.",
"Credential": "PH.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HILL",
"OtherFirstName": "RANDI",
"OtherMiddleName": "MICHELE",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PHARMD,JD",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "3913 JACKSON RD",
"SecondLineMailingAddress": "#9",
"MailingAddressCityName": "ANN ARBOR",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48103-1823",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "313-659-8424",
"MailingAddressFaxNumber": "734-665-2447",
"FirstLinePracticeLocationAddress": "3913 JACKSON RD",
"SecondLinePracticeLocationAddress": "#9",
"PracticeLocationAddressCityName": "ANN ARBOR",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48103-1823",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "313-659-8424",
"PracticeLocationAddressFaxNumber": "734-665-2447",
"EnumerationDate": "12/09/2011",
"LastUpdateDate": "12/09/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "6401012466",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "LPC003963",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}