{
"Npi": {
"NPI": "1851384481",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BRIGHT",
"FirstName": "LAURA",
"MiddleName": "LEE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LISW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PARKER",
"OtherFirstName": "LAURA",
"OtherMiddleName": "LEE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LISW",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "312 E ALTA VISTA AVE",
"SecondLineMailingAddress": "BEHAVIORAL HEALTH COUNSELING SERVICES",
"MailingAddressCityName": "OTTUMWA",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "52501-1413",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "641-684-3138",
"MailingAddressFaxNumber": "641-684-3198",
"FirstLinePracticeLocationAddress": "312 E ALTA VISTA AVE",
"SecondLinePracticeLocationAddress": "BEHAVIORAL HEALTH COUNSELING SERVICES",
"PracticeLocationAddressCityName": "OTTUMWA",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "52501-1413",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "641-684-3138",
"PracticeLocationAddressFaxNumber": "641-684-3198",
"EnumerationDate": "08/30/2005",
"LastUpdateDate": "08/25/2009",
"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": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": "05781",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}