{
"Npi": {
"NPI": "1922443993",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WHELLER",
"FirstName": "RUTH",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "EDS, LPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WHEELER",
"OtherFirstName": "RUTH",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LPC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "912 POPLAR AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JONESBORO",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72401-3852",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "870-530-5739",
"MailingAddressFaxNumber": "844-908-2206",
"FirstLinePracticeLocationAddress": "1000 S CARAWAY RD STE 103",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JONESBORO",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72401-4465",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "870-530-5739",
"PracticeLocationAddressFaxNumber": "844-908-2206",
"EnumerationDate": "05/06/2013",
"LastUpdateDate": "08/11/2020",
"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": "P1701225",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}