{
"Npi": {
"NPI": "1699679944",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JDA LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1911 SW COLLINS AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TOPEKA",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66604-3222",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "785-580-8904",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3601 SW 29TH ST STE 108",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TOPEKA",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "66614-2015",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "785-580-8904",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/07/2026",
"LastUpdateDate": "10/07/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANDERSON",
"AuthorizedOfficialFirstName": "JENNIFER",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "CLINICAL SOCIAL WORKER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LSCSW",
"AuthorizedOfficialTelephoneNumber": "785-580-8904",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}