{
"Npi": {
"NPI": "1467592329",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HENDERSON",
"FirstName": "KATHRYN",
"MiddleName": "ELIZABETH",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "M.A., L.P.C.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "175 W NORWALK RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORWALK",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06850-4410",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-858-2472",
"MailingAddressFaxNumber": "203-831-8070",
"FirstLinePracticeLocationAddress": "71 EAST AVE",
"SecondLinePracticeLocationAddress": "SUITE T",
"PracticeLocationAddressCityName": "NORWALK",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06851-4903",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "203-858-2472",
"PracticeLocationAddressFaxNumber": "203-831-8070",
"EnumerationDate": "02/07/2007",
"LastUpdateDate": "07/08/2007",
"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": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "001546",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}