{
"Npi": {
"NPI": "1619014859",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MEHNERT",
"FirstName": "BARBARA",
"MiddleName": "LYNN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "L.P.C.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "146 E GENEVA SQUARE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKE GENEVA",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53147",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "262-249-4620",
"MailingAddressFaxNumber": "262-249-7132",
"FirstLinePracticeLocationAddress": "146 E GENEVA SQUARE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKE GENEVA",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53147",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "262-249-4620",
"PracticeLocationAddressFaxNumber": "262-249-7132",
"EnumerationDate": "01/30/2007",
"LastUpdateDate": "06/24/2010",
"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": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "4067-125",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "3505",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}