{
"Npi": {
"NPI": "1881150530",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WALKER",
"FirstName": "ARIANNA",
"MiddleName": "MONIQUE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LMFT, LPCC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "REYNA",
"OtherFirstName": "ARIANNA",
"OtherMiddleName": "MONIQUE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LMFT, LPCC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1201 S HOPE ST APT 1114",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90015-4693",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-238-0667",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "29995 TECHNOLOGY DR STE 306",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MURRIETA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92563-2634",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "951-875-5000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/19/2019",
"LastUpdateDate": "10/02/2024",
"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": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}