{
"Npi": {
"NPI": "1801252861",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALAN GOOCH, LCSW, PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "225 WALTON AVE",
"SecondLineMailingAddress": "STE 124",
"MailingAddressCityName": "LEXINGTON",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40502-1441",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "859-402-2362",
"MailingAddressFaxNumber": "859-685-8345",
"FirstLinePracticeLocationAddress": "225 WALTON AVE",
"SecondLinePracticeLocationAddress": "STE 124",
"PracticeLocationAddressCityName": "LEXINGTON",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "40502-1441",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "859-402-2362",
"PracticeLocationAddressFaxNumber": "859-685-8345",
"EnumerationDate": "01/06/2016",
"LastUpdateDate": "01/06/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GOOCH",
"AuthorizedOfficialFirstName": "ALAN",
"AuthorizedOfficialMiddleName": "S",
"AuthorizedOfficialTitle": "OWNER/PSYCHOTHERAPIST",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MSW, LCSW",
"AuthorizedOfficialTelephoneNumber": "606-782-1895",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "3719",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}