{
"Npi": {
"NPI": "1326604125",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MESSICK FAMILY COUNSELING LLC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 425",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TOOELE",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84074-0425",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "435-241-4920",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "66 W VINE ST # 1",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TOOELE",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84074-2185",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "435-241-4920",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/16/2019",
"LastUpdateDate": "06/11/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SMITH",
"AuthorizedOfficialFirstName": "CRYSTAL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "435-241-4920",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}