{
"Npi": {
"NPI": "1780133702",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WC&C-WILLIAMS COUNSELING AND CONSULTATION",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "404 N MAIN ST STE 501",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OSHKOSH",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "54901-4952",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "920-479-1089",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "404 N MAIN ST STE 501",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OSHKOSH",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "54901-4952",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "920-478-1089",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/03/2016",
"LastUpdateDate": "11/16/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILLIAMS",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "DIRECTOR/COUNSELOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CSAC, CSIT, LPCIT",
"AuthorizedOfficialTelephoneNumber": "414-534-8294",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "15549132",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}