{
"Npi": {
"NPI": "1295745891",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MARTIN",
"FirstName": "RONALD",
"MiddleName": "SCOTT",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LPC , LSOTP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 12462",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ODESSA",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79768-2462",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "432-582-2444",
"MailingAddressFaxNumber": "432-582-2449",
"FirstLinePracticeLocationAddress": "2458 E 11TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ODESSA",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "79761-4236",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "432-582-2444",
"PracticeLocationAddressFaxNumber": "432-582-2449",
"EnumerationDate": "08/08/2006",
"LastUpdateDate": "08/13/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "14764",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}