{
"Npi": {
"NPI": "1821157090",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOPE COUNSELING OF PRINCETON, LLC",
"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": "20 NASSAU ST",
"SecondLineMailingAddress": "SUITE 247",
"MailingAddressCityName": "PRINCETON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08542-4509",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-430-1477",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "20 NASSAU ST",
"SecondLinePracticeLocationAddress": "SUITE 247",
"PracticeLocationAddressCityName": "PRINCETON",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08542-4509",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-430-1477",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/06/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ZAREMBA",
"AuthorizedOfficialFirstName": "KELLY",
"AuthorizedOfficialMiddleName": "BRANHAM",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MS, LPC",
"AuthorizedOfficialTelephoneNumber": "609-430-1477",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101Y00000X",
"TaxonomyName": "Counselor",
"LicenseNumber": "37PC00009700",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}