{
"Npi": {
"NPI": "1376493759",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WANDA BOE, MS, LMFT",
"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 1387",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTH BEND",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98045-1387",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "425-985-2396",
"MailingAddressFaxNumber": "425-888-0372",
"FirstLinePracticeLocationAddress": "1420 NW GILMAN BLVD # 2118",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ISSAQUAH",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98027-5394",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "425-985-2396",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/03/2026",
"LastUpdateDate": "02/03/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOE",
"AuthorizedOfficialFirstName": "WANDA",
"AuthorizedOfficialMiddleName": "JEANETTE",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMFT",
"AuthorizedOfficialTelephoneNumber": "425-985-2396",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0801X",
"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}