{
"Npi": {
"NPI": "1447485453",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "REBECCA C. BURCKHARDT, LPC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "255 SPENCER RD",
"SecondLineMailingAddress": "SUITE 201",
"MailingAddressCityName": "SAINT PETERS",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63376-2494",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "636-795-7815",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "255 SPENCER RD",
"SecondLinePracticeLocationAddress": "SUITE 201",
"PracticeLocationAddressCityName": "SAINT PETERS",
"PracticeLocationAddressStateName": "MO",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "636-795-7815",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/19/2009",
"LastUpdateDate": "05/19/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BURCKHARDT",
"AuthorizedOfficialFirstName": "REBECCA",
"AuthorizedOfficialMiddleName": "CATHERINE",
"AuthorizedOfficialTitle": "PROPRIETOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LPC",
"AuthorizedOfficialTelephoneNumber": "636-795-7815",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "MO 002706",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}