{
"Npi": {
"NPI": "1891260535",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MOSLING",
"FirstName": "JUSTIN",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MS LPC CSAC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "N52W14104 ABERDEEN DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MENOMONEE FALLS",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53051-6828",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "608-397-4353",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "13000 W BLUEMOUND RD # 300",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ELM GROVE",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53122-2650",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "262-785-9188",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/09/2018",
"LastUpdateDate": "10/09/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "5566-125",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
"LicenseNumber": "16233-132",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}