{
"Npi": {
"NPI": "1417175159",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "JUOLA",
"FirstName": "MISTY",
"MiddleName": "LEANNE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LPE",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WITHERINGTON",
"OtherFirstName": "MISTY",
"OtherMiddleName": "E",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "LPE",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "109 W SOUTH ST.",
"SecondLineMailingAddress": "ACA - ARKANSAS COUNSELING ASSOCCIATES",
"MailingAddressCityName": "BENTON",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72015",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "501-776-1191",
"MailingAddressFaxNumber": "501-776-1194",
"FirstLinePracticeLocationAddress": "109 W SOUTH ST.",
"SecondLinePracticeLocationAddress": "ACA",
"PracticeLocationAddressCityName": "BENTON",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72015",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "501-776-1191",
"PracticeLocationAddressFaxNumber": "501-776-1194",
"EnumerationDate": "04/20/2007",
"LastUpdateDate": "06/17/2014",
"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": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "01-21E",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}