{
"Npi": {
"NPI": "1457793358",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DOLAN",
"FirstName": "JOAN",
"MiddleName": "P.",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MED LPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DOLAN",
"OtherFirstName": "JOAN",
"OtherMiddleName": "ROLF",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MED LPC",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "4925 GREENVILLE AVE",
"SecondLineMailingAddress": "SUITE #608",
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75206-4026",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-243-8181",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4925 GREENVILLE AVE",
"SecondLinePracticeLocationAddress": "SUITE #608",
"PracticeLocationAddressCityName": "DALLAS",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75206-4026",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "214-243-8181",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/22/2013",
"LastUpdateDate": "07/22/2013",
"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": "16346 LPC",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "16346 LPC",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}