{
"Npi": {
"NPI": "1558879809",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BRUMMELS",
"FirstName": "LINDA",
"MiddleName": null,
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "MS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BRUMMELS",
"OtherFirstName": "LIN",
"OtherMiddleName": "MARSHALL",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MS",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "85365 567TH AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WINSIDE",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "68790",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "402-833-8440",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "421 N PEARL ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WAYNE",
"PracticeLocationAddressStateName": "NE",
"PracticeLocationAddressPostalCode": "68787-1904",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "402-286-4891",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/19/2018",
"LastUpdateDate": "01/18/2019",
"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": "1078",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "817",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "1078",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}