{
"Npi": {
"NPI": "1336765189",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BOWEN",
"FirstName": "CALYE",
"MiddleName": "MORGAN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LPC-S",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BOWEN",
"OtherFirstName": "CALYE",
"OtherMiddleName": "MORGAN",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "LPC-C",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2524 N BROADWAY STE 327",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EDMOND",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73034-4177",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-548-5622",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2524 N BROADWAY STE 327",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EDMOND",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73034-4177",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-548-5622",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/17/2020",
"LastUpdateDate": "02/07/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": "02/10/2021",
"NPIReactivationDate": "02/05/2025",
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}