{
"Npi": {
"NPI": "1699602037",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MOORING",
"FirstName": "KEYIERA",
"MiddleName": "EILEEN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9839 JOAN CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "YPSILANTI",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48197-8295",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-495-0837",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "24 FRANK LLOYD WRIGHT DR STE L-4000",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ANN ARBOR",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48105-9484",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "734-995-6755",
"PracticeLocationAddressFaxNumber": "734-557-3995",
"EnumerationDate": "05/07/2026",
"LastUpdateDate": "05/07/2026",
"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": "6451024898",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}