{
"Npi": {
"NPI": "1881352672",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "POOLE",
"FirstName": "SONJA",
"MiddleName": "DENISE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "POOLE",
"OtherFirstName": "SONJA",
"OtherMiddleName": "DENISE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "DR. SONJA POOLE",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "90 DEER RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RICHMOND HILL",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31324-3129",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "704-303-3554",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "90 DEER RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RICHMOND HILL",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "31324-3129",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "704-303-3554",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/30/2021",
"LastUpdateDate": "12/02/2021",
"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": "A17126",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}