{
"Npi": {
"NPI": "1851662951",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MANTHEI",
"FirstName": "COLLEEN",
"MiddleName": "YVONNE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PLADC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MANTHEI",
"OtherFirstName": "CODY",
"OtherMiddleName": "YVONNE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PLADC",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "1016 S 40TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LINCOLN",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "68510-4609",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "402-601-4162",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1100 MILITARY RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LINCOLN",
"PracticeLocationAddressStateName": "NE",
"PracticeLocationAddressPostalCode": "68508-1047",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "402-438-5231",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/20/2012",
"LastUpdateDate": "01/20/2012",
"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": "1022",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}