{
"Npi": {
"NPI": "1396937009",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JOHNSON COUNSELING AND CONSULTING",
"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": "505 KING ST",
"SecondLineMailingAddress": "SUITE 227",
"MailingAddressCityName": "LA CROSSE",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "54601-9204",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "608-796-2710",
"MailingAddressFaxNumber": "608-796-2712",
"FirstLinePracticeLocationAddress": "505 KING ST",
"SecondLinePracticeLocationAddress": "SUITE 227",
"PracticeLocationAddressCityName": "LA CROSSE",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "54601-9204",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "608-796-2710",
"PracticeLocationAddressFaxNumber": "608-796-2712",
"EnumerationDate": "08/16/2007",
"LastUpdateDate": "08/16/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNSON",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "DAVID",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "SR.",
"AuthorizedOfficialCredential": "M.S., L.C.S.W.,",
"AuthorizedOfficialTelephoneNumber": "608-796-2710",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": "2267",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}