{
"Npi": {
"NPI": "1457728172",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ADIRONDACK COMMUNITY COUNSELING",
"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": "165 NEIL ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SARANAC LAKE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12983-1565",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-420-6023",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "28 BERNARD STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SARANAC LAKE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12983",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "518-420-6023",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/28/2015",
"LastUpdateDate": "08/28/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARR",
"AuthorizedOfficialFirstName": "DANIELLE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "LICENSED MENTAL HEALTH COUNSELOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMHC, NCC",
"AuthorizedOfficialTelephoneNumber": "518-420-6023",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": "005895",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QM0855X",
"TaxonomyName": "Adolescent and Children Mental Health Clinic/Center",
"LicenseNumber": "005895",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QM0801X",
"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
"LicenseNumber": "005895",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}