{
"Npi": {
"NPI": "1558635706",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ROUNDS",
"FirstName": "LAVONNE",
"MiddleName": "LEE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "M.ED",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HOLMAN",
"OtherFirstName": "LAVONNE",
"OtherMiddleName": "LEE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "RR 1 BOX 279",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FORT COBB",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73038-9775",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-850-4867",
"MailingAddressFaxNumber": "405-247-2091",
"FirstLinePracticeLocationAddress": "101 RIVERSIDE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ANADARKO",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73005-9772",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-247-6874",
"PracticeLocationAddressFaxNumber": "405-247-2091",
"EnumerationDate": "03/06/2012",
"LastUpdateDate": "03/06/2012",
"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": "364",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "639",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}