{
"Npi": {
"NPI": "1700232659",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PROGRESSIONS SESSIONS INC",
"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": "521 PLYMOUTH RD",
"SecondLineMailingAddress": "STE 106",
"MailingAddressCityName": "PLYMOUTH MEETING",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19462-1638",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-941-3390",
"MailingAddressFaxNumber": "610-941-3391",
"FirstLinePracticeLocationAddress": "521 PLYMOUTH RD",
"SecondLinePracticeLocationAddress": "STE 106",
"PracticeLocationAddressCityName": "PLYMOUTH MEETING",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19462-1638",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "610-941-3390",
"PracticeLocationAddressFaxNumber": "610-941-3391",
"EnumerationDate": "05/10/2016",
"LastUpdateDate": "05/10/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ISKRA",
"AuthorizedOfficialFirstName": "EDWARD",
"AuthorizedOfficialMiddleName": "JOZEF",
"AuthorizedOfficialTitle": "GENERAL MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "347-878-8744",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "PC002751",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}