{
"Npi": {
"NPI": "1235562646",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NINIGRET COUNSELING SERVICES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1442",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHARLESTOWN",
"MailingAddressStateName": "RI",
"MailingAddressPostalCode": "02813-0918",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "401-364-3255",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "23 NORTH RD",
"SecondLinePracticeLocationAddress": "LILY PAD PROFESSIONAL CENTER",
"PracticeLocationAddressCityName": "WAKEFIELD",
"PracticeLocationAddressStateName": "RI",
"PracticeLocationAddressPostalCode": "02879-8132",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "401-364-3255",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/21/2013",
"LastUpdateDate": "09/30/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARRY",
"AuthorizedOfficialFirstName": "CYNTHIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CLINICAL SOCIAL WORKER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LICSW",
"AuthorizedOfficialTelephoneNumber": "401-364-3255",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "ISW02227",
"LicenseNumberStateCode": "RI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}