{
"Npi": {
"NPI": "1851860514",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BELLER",
"FirstName": "DANIELLE",
"MiddleName": "KAY",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MA, LLPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "RIBBY",
"OtherFirstName": "DANIELLE",
"OtherMiddleName": "K",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MA, LLPC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "6369 ENCANTADO CT W",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROCKFORD",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49341-9621",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "616-292-2083",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4467 CASCADE RD SE STE 4481",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GRAND RAPIDS",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49546-3776",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "616-292-2083",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/24/2018",
"LastUpdateDate": "11/24/2018",
"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": "101Y00000X",
"TaxonomyName": "Counselor",
"LicenseNumber": "6401008575",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}