{
"Npi": {
"NPI": "1275717522",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CHAUNCEY",
"FirstName": "HEATHER",
"MiddleName": "ANN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PLOURDE",
"OtherFirstName": "HEATHER",
"OtherMiddleName": "ANN",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "ATR-BC, LCAT",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 102",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SHANDAKEN",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12480-0102",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "845-518-3161",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "126 GOLF COURSE ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SHANDAKEN",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12480",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "845-518-3161",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/21/2007",
"LastUpdateDate": "12/21/2007",
"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": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "000274",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}