{
"Npi": {
"NPI": "1679781694",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KINSEY",
"FirstName": "KIMBERLY",
"MiddleName": "LEAH",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LMFT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PEDIGO",
"OtherFirstName": "KIMBERLY",
"OtherMiddleName": "LEAH",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "LMFT",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "920 LAKE DR",
"SecondLineMailingAddress": "APARTMENT 5-C",
"MailingAddressCityName": "BRANDON",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39042-3822",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-594-6750",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2627 RIDGEWOOD RD",
"SecondLinePracticeLocationAddress": "SUITE 103",
"PracticeLocationAddressCityName": "JACKSON",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39216-4993",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "601-594-6750",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/21/2007",
"LastUpdateDate": "07/08/2007",
"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": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "T0286",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}