{
"Npi": {
"NPI": "1578083986",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RESTO",
"FirstName": "AIXA",
"MiddleName": "M.",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "COUNSELING",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "J13 CALLE 11 SANTA ANA",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VEGA ALTA",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00692-6005",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-397-6870",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "CALLE SAN MANUEL #5",
"SecondLinePracticeLocationAddress": "EDIFICIO YOLANDA",
"PracticeLocationAddressCityName": "COROZAL",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00783",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-397-6870",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/27/2017",
"LastUpdateDate": "06/27/2017",
"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": "2082",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "2082",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}