{
"Npi": {
"NPI": "1356451645",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KENT",
"FirstName": "SUSAN",
"MiddleName": "MORGART",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LCSW, LADC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CHASTAIN",
"OtherFirstName": "SUSAN",
"OtherMiddleName": "MORGART",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "LCSW, LADC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "34812 E 241ST ST S",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORTER",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74454-5881",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-352-1685",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "37353 E 221ST ST S",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PORTER",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "74454-5615",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-352-1685",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/30/2006",
"LastUpdateDate": "03/17/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "3789",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
"LicenseNumber": "622",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}