{
"Npi": {
"NPI": "1467674291",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "YINGLING",
"FirstName": "JENNIFER",
"MiddleName": "D'LYN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MS, NCC, LPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3179 SHAWVILLE HWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WOODLAND",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "16881-8701",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "814-857-4950",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1661 HARDSCRABBLE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MUNSON",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "16860-9404",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "814-592-0021",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/02/2007",
"LastUpdateDate": "12/15/2013",
"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": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "PC005568",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}