{
"Npi": {
"NPI": "1639247919",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HOFFMANN",
"FirstName": "BONNIE",
"MiddleName": "LYNN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MS, LMHC, NBCCH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "73 KINGFISHER RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEVITTOWN",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11756-2145",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-236-4577",
"MailingAddressFaxNumber": "516-796-6062",
"FirstLinePracticeLocationAddress": "1400 WANTAGH AVE",
"SecondLinePracticeLocationAddress": "SUITE 201",
"PracticeLocationAddressCityName": "WANTAGH",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11793-2257",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-236-4577",
"PracticeLocationAddressFaxNumber": "516-796-6062",
"EnumerationDate": "12/02/2006",
"LastUpdateDate": "09/13/2007",
"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": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "000133-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}