{
"Npi": {
"NPI": "1619183431",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ECHEVARRIA",
"FirstName": "JUAN",
"MiddleName": "JOSE",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "LADCI BSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ECHEVARRIA MEOZNA",
"OtherFirstName": "JUAN",
"OtherMiddleName": "JOSE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "PO BOX 4822",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPRINGFIELD",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01101",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "413-374-8584",
"MailingAddressFaxNumber": "413-493-2783",
"FirstLinePracticeLocationAddress": "1233 MAIN ST",
"SecondLinePracticeLocationAddress": "PROVIDENCE HOSPITAL",
"PracticeLocationAddressCityName": "HOLYOKE",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01040",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "413-493-2734",
"PracticeLocationAddressFaxNumber": "413-493-2783",
"EnumerationDate": "05/16/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101Y00000X",
"TaxonomyName": "Counselor",
"LicenseNumber": "2004",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}