{
"Npi": {
"NPI": "1720191067",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HARBAUGH",
"FirstName": "ANDREA",
"MiddleName": "DEL",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HARBAUGH",
"OtherFirstName": "ANDREA",
"OtherMiddleName": "D",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "LPC",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "7571 TERRY DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTH RICHLAND HILLS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76180-6477",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "817-320-1883",
"MailingAddressFaxNumber": "817-684-8445",
"FirstLinePracticeLocationAddress": "5017 HERITAGE AVE",
"SecondLinePracticeLocationAddress": "SUITE 105",
"PracticeLocationAddressCityName": "COLLEYVILLE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76034-5994",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "817-320-1883",
"PracticeLocationAddressFaxNumber": "817-684-8445",
"EnumerationDate": "08/17/2006",
"LastUpdateDate": "05/23/2013",
"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": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "15280",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}