{
"Npi": {
"NPI": "1871869818",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ANGELA LUTZI MS LPC LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "25 E CENTER ST",
"SecondLineMailingAddress": "SUITE 4",
"MailingAddressCityName": "NAZARETH",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "18064-2254",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-533-5435",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "25 E CENTER ST",
"SecondLinePracticeLocationAddress": "SUITE 4",
"PracticeLocationAddressCityName": "NAZARETH",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "18064-2254",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "610-533-5435",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/23/2012",
"LastUpdateDate": "03/23/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LUTZI",
"AuthorizedOfficialFirstName": "ANGELA",
"AuthorizedOfficialMiddleName": "JEAN",
"AuthorizedOfficialTitle": "LICENSED PROFESSIONAL COUNSELOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.S.",
"AuthorizedOfficialTelephoneNumber": "610-533-5435",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "305R00000X",
"TaxonomyName": "Preferred Provider Organization",
"LicenseNumber": "PC004388",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}