{
"Npi": {
"NPI": "1285267633",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MITCHELL",
"FirstName": "ELIZABETH",
"MiddleName": "LEWIS",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LEWIS",
"OtherFirstName": "ELIZABETH",
"OtherMiddleName": "ANNE",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "LPC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3004 13TH AVE S APT 1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BIRMINGHAM",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35205-2081",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "205-568-4649",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2320 HIGHLAND AVE S STE 290D",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BIRMINGHAM",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "35205-2962",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "205-568-4649",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/13/2020",
"LastUpdateDate": "03/02/2021",
"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": "101Y00000X",
"TaxonomyName": "Counselor",
"LicenseNumber": "3911",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}