{
"Npi": {
"NPI": "1508137399",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MANGAN",
"FirstName": "STEPHANIE",
"MiddleName": "GABRIELLE",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "MRC, LPCC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SUMNER",
"OtherFirstName": "STEPHANIE",
"OtherMiddleName": "GABRIELLE",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "MRC, LPCA",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1092 DUVAL ST",
"SecondLineMailingAddress": "250",
"MailingAddressCityName": "LEXINGTON",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40515-8908",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "859-523-7383",
"MailingAddressFaxNumber": "859-523-7384",
"FirstLinePracticeLocationAddress": "1092 DUVAL ST",
"SecondLinePracticeLocationAddress": "250",
"PracticeLocationAddressCityName": "LEXINGTON",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "40515-8908",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "859-523-7383",
"PracticeLocationAddressFaxNumber": "859-523-7384",
"EnumerationDate": "01/25/2012",
"LastUpdateDate": "11/14/2013",
"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": "KY-1597",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}