{
"Npi": {
"NPI": "1710051974",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "EUTO",
"FirstName": "JEWEL",
"MiddleName": "ELIZABETH BISHOP",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "ND,",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "EUTO",
"OtherFirstName": "JEWEL",
"OtherMiddleName": "ELIZABETH BISHOP",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "LPC, LMFT",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "7421 FISH HAWK RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GAUTIER",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39553-2711",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "256-309-7558",
"MailingAddressFaxNumber": "888-664-5721",
"FirstLinePracticeLocationAddress": "7421 FISH HAWK RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GAUTIER",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39553-2711",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "256-309-7558",
"PracticeLocationAddressFaxNumber": "888-664-5721",
"EnumerationDate": "11/20/2006",
"LastUpdateDate": "07/13/2025",
"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": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "LMFT#061",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "LPC#1208",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "2740",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "N"
}
]
},
"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."
}
}
}
}