{
"Npi": {
"NPI": "1922170372",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "NEUVILLE",
"FirstName": "MAUREEN",
"MiddleName": "A",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BISSEN",
"OtherFirstName": "MAUREEN",
"OtherMiddleName": "A",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "MS, LPC",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "1005 OAK AVE N",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ONALASKA",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "54650-2117",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "608-780-2823",
"MailingAddressFaxNumber": "608-781-2924",
"FirstLinePracticeLocationAddress": "115 5TH AVE S",
"SecondLinePracticeLocationAddress": "SUITE 507",
"PracticeLocationAddressCityName": "LA CROSSE",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "54601-9200",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "608-780-2823",
"PracticeLocationAddressFaxNumber": "608-781-2924",
"EnumerationDate": "11/14/2006",
"LastUpdateDate": "08/28/2013",
"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": "3599-125",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "LPC00916",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}