{
"Npi": {
"NPI": "1396003299",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "VILLAGOMEZ",
"FirstName": "KATRINA",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "M.A., LPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MEZA",
"OtherFirstName": "KATRINA",
"OtherMiddleName": null,
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "M.A., LPC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 8380",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WESLACO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78599-8380",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "956-929-6324",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "402 S NEBRASKA AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WESLACO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78596-6024",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "956-929-6324",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/27/2012",
"LastUpdateDate": "04/16/2014",
"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": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "67169",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}