{
"Npi": {
"NPI": "1710038278",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "COHEN",
"FirstName": "KIM",
"MiddleName": "LESLIE",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LMFT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "31 FARNHAM RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST HARTFORD",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06119-1317",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "860-233-3161",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2306 BERLIN TPKE",
"SecondLinePracticeLocationAddress": "SUITE 101",
"PracticeLocationAddressCityName": "NEWINGTON",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06111-3204",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "860-523-9420",
"PracticeLocationAddressFaxNumber": "860-667-3369",
"EnumerationDate": "01/12/2007",
"LastUpdateDate": "07/09/2007",
"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": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "001011",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}