{
"Npi": {
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"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
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"OrgName": null,
"LastName": "FERGUSON",
"FirstName": "JOHN",
"MiddleName": "THOMAS",
"NamePrefix": "MR.",
"NameSuffix": "JR.",
"Credential": "LMFTA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FERGUSON",
"OtherFirstName": "J.T.",
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"OtherNamePrefix": "MR.",
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"OtherCredential": "LMFTA",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "3209 W SMITH VALLEY ROAD",
"SecondLineMailingAddress": "#225",
"MailingAddressCityName": "INDIANAPOLIS",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46142",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "317-884-5012",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3209 W SMITH VALLEY ROAD",
"SecondLinePracticeLocationAddress": "#225",
"PracticeLocationAddressCityName": "INDIANAPOLIS",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46142",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "317-884-5012",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/18/2016",
"LastUpdateDate": "04/18/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "85000220A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}