{
"Npi": {
"NPI": "1326838954",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AGAPE PSYCHOTHERAPY AND 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 850322",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "YUKON",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73085-0322",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-408-3237",
"MailingAddressFaxNumber": "405-832-3451",
"FirstLinePracticeLocationAddress": "416 W 15TH ST STE 400A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EDMOND",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73013-3688",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-408-3237",
"PracticeLocationAddressFaxNumber": "405-832-3451",
"EnumerationDate": "05/07/2025",
"LastUpdateDate": "05/07/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHWARZ",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "PETER",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "405-408-3237",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}