{
"Npi": {
"NPI": "1700182433",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BARAN",
"FirstName": "NANCY",
"MiddleName": "SUSAN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BARAN",
"OtherFirstName": "NANI",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "284 MADRONA WAY NE APT 224",
"SecondLineMailingAddress": "NANI BARAN PSYCHOTHERAPY",
"MailingAddressCityName": "BAINBRIDGE ISLAND",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98110-2870",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-407-3256",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "18978 FRONT ST. NE",
"SecondLinePracticeLocationAddress": "SATORI WELL BEING CENTER",
"PracticeLocationAddressCityName": "POULSBO",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98370",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "206-407-3256",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/27/2011",
"LastUpdateDate": "11/09/2016",
"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": "LH 60656778",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}