{
"Npi": {
"NPI": "1396602959",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MOSAIC PATHWAYS 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": "34 WEST ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MANCHESTER",
"MailingAddressStateName": "NH",
"MailingAddressPostalCode": "03102-4340",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "603-512-7447",
"MailingAddressFaxNumber": "603-512-7447",
"FirstLinePracticeLocationAddress": "273 SOUTH RIVER ED",
"SecondLinePracticeLocationAddress": "UNIT 1 SUIT B",
"PracticeLocationAddressCityName": "BEDFORD",
"PracticeLocationAddressStateName": "NH",
"PracticeLocationAddressPostalCode": "03110",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "603-512-7447",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/06/2026",
"LastUpdateDate": "01/06/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOORE",
"AuthorizedOfficialFirstName": "EMILY",
"AuthorizedOfficialMiddleName": "MAY",
"AuthorizedOfficialTitle": "CLINICAL MENTAL HEALTH COUNSELOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMHC",
"AuthorizedOfficialTelephoneNumber": "603-512-7447",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}