{
"Npi": {
"NPI": "1538789425",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KHURSHEED",
"FirstName": "AISHAH",
"MiddleName": "NAOMI",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LMFT, LPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "739 THIMBLE SHOALS BLVD",
"SecondLineMailingAddress": "STE 704 A/B",
"MailingAddressCityName": "NEWPORT NEWS",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23606",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "757-897-5756",
"MailingAddressFaxNumber": "757-765-6743",
"FirstLinePracticeLocationAddress": "739 THIMBLE SHOALS BLVD",
"SecondLinePracticeLocationAddress": "STE 704 A/B",
"PracticeLocationAddressCityName": "NEWPORT NEWS",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23606",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "757-897-5756",
"PracticeLocationAddressFaxNumber": "757-765-6743",
"EnumerationDate": "04/21/2020",
"LastUpdateDate": "03/28/2025",
"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": "0717001597",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}