{
"Npi": {
"NPI": "1245439983",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DEHAAS",
"FirstName": "ADRIENNE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MFT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "12815 HEACOCK ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MORENO VALLEY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92553-3116",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "951-601-6155",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12815 HEACOCK ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MORENO VALLEY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92553-3116",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "951-601-6155",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/12/2007",
"LastUpdateDate": "07/12/2007",
"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": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
"LicenseNumber": "MFC37193",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}