{
"Npi": {
"NPI": "1245489319",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LUCE-MARINE",
"FirstName": "PAMELA",
"MiddleName": "JEAN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LPCC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LUCE",
"OtherFirstName": "PAMELA",
"OtherMiddleName": "JB",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2825 ANTIOCH RD",
"SecondLineMailingAddress": "SHELBY COUNSELING ASSOCIATES, PSC",
"MailingAddressCityName": "SHELBYVILLE",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40065",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "502-254-8880",
"MailingAddressFaxNumber": "502-254-8870",
"FirstLinePracticeLocationAddress": "12701 TOWNEPARK WAY",
"SecondLinePracticeLocationAddress": "BARKLEY BLDG, SUITE 200",
"PracticeLocationAddressCityName": "LOUISVILLE",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "40243",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "502-254-8880",
"PracticeLocationAddressFaxNumber": "502-254-8870",
"EnumerationDate": "09/15/2008",
"LastUpdateDate": "01/23/2017",
"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": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": null,
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "104161",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}