{
"Npi": {
"NPI": "1912206269",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ART OF REFLECTION PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "240 E LAKE ST",
"SecondLineMailingAddress": "SUITE 307",
"MailingAddressCityName": "ADDISON",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60101-2890",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "312-965-0588",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "501 W STATE ST",
"SecondLinePracticeLocationAddress": "SUITE 204",
"PracticeLocationAddressCityName": "GENEVA",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60134-2149",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "312-965-0588",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/24/2011",
"LastUpdateDate": "03/24/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CLECKNER",
"AuthorizedOfficialFirstName": "JENNIFER",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LCSW",
"AuthorizedOfficialTelephoneNumber": "312-965-0588",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "149.011783",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}