{
"Npi": {
"NPI": "1871949438",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "JOHNSON",
"FirstName": "GINGER",
"MiddleName": "DIANNE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "CNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "JOHNSON",
"OtherFirstName": "VIRGINIA",
"OtherMiddleName": "DIANNE",
"OtherNamePrefix": "PROF.",
"OtherNameSuffix": null,
"OtherCredential": "CDP",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "8212 S MARCH POINT RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ANACORTES",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98221-8684",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-588-2800",
"MailingAddressFaxNumber": "360-588-2808",
"FirstLinePracticeLocationAddress": "8212 S MARCH POINT RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ANACORTES",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98221-8684",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-588-2800",
"PracticeLocationAddressFaxNumber": "360-588-2808",
"EnumerationDate": "05/12/2016",
"LastUpdateDate": "04/09/2019",
"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": "CP 60520526",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}