{
"Npi": {
"NPI": "1396681193",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LIFE STORY COUNSELING & CONSULTING, PLLC",
"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": "22023 SE WAX RD # 472",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MAPLE VALLEY",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98038-9998",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-424-3696",
"MailingAddressFaxNumber": "206-210-6809",
"FirstLinePracticeLocationAddress": "105 M ST NE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AUBURN",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98002-4430",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "206-424-3696",
"PracticeLocationAddressFaxNumber": "206-210-6809",
"EnumerationDate": "04/25/2026",
"LastUpdateDate": "04/25/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BLOCK",
"AuthorizedOfficialFirstName": "LEAH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MENTAL HEALTH COUNSELOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMHC",
"AuthorizedOfficialTelephoneNumber": "206-424-3696",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}