{
"Npi": {
"NPI": "1598650178",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BUILDING BLOCKS 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": "3030 N CENTRAL AVE STE 506",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PHOENIX",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85012-2825",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "602-626-8112",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "150 N OCOTILLO DR FL 1",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "APACHE JUNCTION",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85120-3740",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "602-626-8112",
"PracticeLocationAddressFaxNumber": "602-875-0242",
"EnumerationDate": "06/12/2025",
"LastUpdateDate": "06/19/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNSON",
"AuthorizedOfficialFirstName": "VERN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/FOUNDER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "602-626-8112",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}