{
"Npi": {
"NPI": "1932054640",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GENESIS A NEW BEGINNING",
"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": "130 N ARLINGTON ST STE E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SALISBURY",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28144-4600",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "704-636-0838",
"MailingAddressFaxNumber": "704-870-0981",
"FirstLinePracticeLocationAddress": "130 N ARLINGTON ST STE E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SALISBURY",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28144-4600",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "704-636-0838",
"PracticeLocationAddressFaxNumber": "704-870-0981",
"EnumerationDate": "02/27/2026",
"LastUpdateDate": "02/27/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "IVORY",
"AuthorizedOfficialFirstName": "JONISHAWA",
"AuthorizedOfficialMiddleName": "JONTAY DANIELLE",
"AuthorizedOfficialTitle": "MENTAL HEALTH COUNSELOR ASSOCIATE",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LCMHC-A",
"AuthorizedOfficialTelephoneNumber": "704-426-2101",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}