{
"Npi": {
"NPI": "1871409292",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "D'AMOUR",
"FirstName": "LILY",
"MiddleName": "GRACE",
"NamePrefix": "MISS",
"NameSuffix": null,
"Credential": "LMSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "119 4TH ST NE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SIOUX CENTER",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "51250-1727",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "320-296-0738",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "33 4TH ST NW",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SIOUX CENTER",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "51250-1870",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "712-722-1700",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/24/2026",
"LastUpdateDate": "08/24/2026",
"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": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "139363",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}