{
"Npi": {
"NPI": "1306183942",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CARPENETTI",
"FirstName": "DANIEL",
"MiddleName": "EDWARD",
"NamePrefix": "MR.",
"NameSuffix": "JR.",
"Credential": "M.ED., LPCC-S",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2845 BELL ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ZANESVILLE",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "43701-1720",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "740-454-9766",
"MailingAddressFaxNumber": "740-588-6452",
"FirstLinePracticeLocationAddress": "2500 JOHN GLENN HWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CAMBRIDGE",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "43725-9028",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "740-439-4428",
"PracticeLocationAddressFaxNumber": "740-439-3389",
"EnumerationDate": "01/15/2013",
"LastUpdateDate": "10/25/2019",
"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": "E2902-S",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}