{
"Npi": {
"NPI": "1770883167",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ADAIR",
"FirstName": "JENNIFER",
"MiddleName": "M.",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LCPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ALBERT",
"OtherFirstName": "JENNIFER",
"OtherMiddleName": "M",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "LCPC-C",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2707 VIA SANTA CROCE CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FORT MYERS",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33905-5567",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "845-489-6875",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2707 VIA SANTA CROCE CT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FORT MYERS",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33905-5567",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "184-548-9687",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/01/2010",
"LastUpdateDate": "04/11/2021",
"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": "LH60978127",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "MH15513",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "XL3385",
"LicenseNumberStateCode": "ME",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "CC3699",
"LicenseNumberStateCode": "ME",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}