{
"Npi": {
"NPI": "1578935185",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THE COUNSELING CENTER",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2001 S BARRINGTON AVE",
"SecondLineMailingAddress": "SUITE 301",
"MailingAddressCityName": "WEST LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90025-5363",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "323-363-4228",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2001 S BARRINGTON AVE",
"SecondLinePracticeLocationAddress": "SUITE 301",
"PracticeLocationAddressCityName": "WEST LOS ANGELES",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90025-5363",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "323-363-4228",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/21/2015",
"LastUpdateDate": "10/21/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BUMILLER",
"AuthorizedOfficialFirstName": "WILLIAM",
"AuthorizedOfficialMiddleName": "KEMPTON",
"AuthorizedOfficialTitle": "PSYCHOTHERAPIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MA, MFC",
"AuthorizedOfficialTelephoneNumber": "323-363-4228",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "MFC53735",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}