{
"Npi": {
"NPI": "1902512551",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MEADOWS",
"FirstName": "ANGELA MARIE",
"MiddleName": "DAWSON",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LPC, NCC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DAWSON",
"OtherFirstName": "ANGELA",
"OtherMiddleName": "MARIE",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 1017",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FIELDALE",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "24089-1017",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "276-477-7382",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5369 PETERS CREEK RD NW",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROANOKE",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "24019-3849",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "540-344-9501",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/26/2023",
"LastUpdateDate": "01/26/2023",
"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": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "0701012152",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}