{
"Npi": {
"NPI": "1871708453",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FREEMAN-BENNEFIELD",
"FirstName": "MONICA",
"MiddleName": "JILL",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MASSEY",
"OtherFirstName": "MONICA",
"OtherMiddleName": "JILL",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "CT",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "6127 LAVENHAM RD SW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MASSILLON",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44646-9676",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "330-795-5437",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10029 CLEVELAND AVE SE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MAGNOLIA",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44643-9781",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "234-386-0306",
"PracticeLocationAddressFaxNumber": "234-386-0108",
"EnumerationDate": "05/14/2007",
"LastUpdateDate": "04/18/2025",
"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": "C.2204702",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}