{
"Npi": {
"NPI": "1912044009",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CLINE",
"FirstName": "JENNIFER",
"MiddleName": "LYNN",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHD, LPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HATTER",
"OtherFirstName": "JENNIFER",
"OtherMiddleName": "LYNN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "726 BURKETOWN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEYERS CAVE",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "24486-2106",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "540-649-5570",
"MailingAddressFaxNumber": "540-266-3846",
"FirstLinePracticeLocationAddress": "1181 SMITH AVENUE",
"SecondLinePracticeLocationAddress": "EMU",
"PracticeLocationAddressCityName": "HARRISONBURG",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22802",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "540-432-4213",
"PracticeLocationAddressFaxNumber": "540-266-3846",
"EnumerationDate": "01/30/2007",
"LastUpdateDate": "08/14/2020",
"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": "0701003635",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}