{
"Npi": {
"NPI": "1437478013",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SWENSON",
"FirstName": "WILLIAM",
"MiddleName": null,
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SWENSON",
"OtherFirstName": "BILL",
"OtherMiddleName": null,
"OtherNamePrefix": "MR.",
"OtherNameSuffix": null,
"OtherCredential": "L.P.C.",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "PO BOX 293654",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEWISVILLE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75029-3654",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-923-4489",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3535 FIREWHEEL DR",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "FLOWER MOUND",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75028-2628",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "214-227-7224",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/22/2010",
"LastUpdateDate": "05/22/2010",
"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": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
"LicenseNumber": "4051",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "9907",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}