{
"Npi": {
"NPI": "1790244085",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SHIN",
"FirstName": "YUBIN",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LMHC-LP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "15038 28TH AVE # 2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FLUSHING",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11354-1555",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "917-621-5216",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "140 ROUTE 303",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VALLEY COTTAGE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10989-5906",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "917-621-5216",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/15/2019",
"LastUpdateDate": "03/15/2019",
"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": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
"LicenseNumber": "009494",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}