{
"Npi": {
"NPI": "1548360506",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SHAMI",
"FirstName": "GLORIA",
"MiddleName": "KEMP",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LPC LMFT AAC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1050 W PIPELINE RD",
"SecondLineMailingAddress": "SUITE 202",
"MailingAddressCityName": "HURST",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76053",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "817-282-6236",
"MailingAddressFaxNumber": "817-285-9542",
"FirstLinePracticeLocationAddress": "1050 W PIPELINE RD",
"SecondLinePracticeLocationAddress": "SUITE 202",
"PracticeLocationAddressCityName": "HURST",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76053",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "817-282-6236",
"PracticeLocationAddressFaxNumber": "817-285-9542",
"EnumerationDate": "09/22/2006",
"LastUpdateDate": "10/12/2010",
"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": "101Y00000X",
"TaxonomyName": "Counselor",
"LicenseNumber": "LPC09632",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
"LicenseNumber": "AAC16931100",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "LMFT000296042264",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}