{
"Npi": {
"NPI": "1588073910",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CIPRIANO&JOHNSON COUNSELING LLC",
"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": "2602 ISABELLA BLVD",
"SecondLineMailingAddress": "SUITE 30",
"MailingAddressCityName": "JACKSONVILLE BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32250-4099",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "904-372-4349",
"MailingAddressFaxNumber": "904-595-5628",
"FirstLinePracticeLocationAddress": "2602 ISABELLA BLVD",
"SecondLinePracticeLocationAddress": "SUITE 30",
"PracticeLocationAddressCityName": "JACKSONVILLE BEACH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32250-4099",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "904-372-4349",
"PracticeLocationAddressFaxNumber": "904-595-5628",
"EnumerationDate": "08/11/2014",
"LastUpdateDate": "08/11/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNSON",
"AuthorizedOfficialFirstName": "STEPHEN",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "CFO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MS, LPC, CAP",
"AuthorizedOfficialTelephoneNumber": "904-503-2634",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "0416AD889502",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}