{
"Npi": {
"NPI": "1689850653",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KREMS",
"FirstName": "MARCY",
"MiddleName": "MORELAND",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "M. ED., LPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MORELAND",
"OtherFirstName": "MARCY",
"OtherMiddleName": "ANNE",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "M.ED.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "7834 DELMAR BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAINT LOUIS",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63130-3711",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "314-610-6068",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12755 OLIVE BLVD",
"SecondLinePracticeLocationAddress": "SUITE 115",
"PracticeLocationAddressCityName": "SAINT LOUIS",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63141-6242",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "314-610-6068",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/21/2008",
"LastUpdateDate": "03/18/2011",
"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": "101Y00000X",
"TaxonomyName": "Counselor",
"LicenseNumber": "2008035989",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}