{
"Npi": {
"NPI": "1932231990",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BRUSH - INNER REFLECTIONS",
"FirstName": "SHARON",
"MiddleName": "GAIL",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LCSW, ACSW, QCSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SHARON BRUSH",
"OtherFirstName": "INNER REFLECTION",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LCSW, ACSW, QCSW",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "7701 N HICKORY DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COLUMBIA",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "65202-7800",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "573-819-5536",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1005 E. CHERRY",
"SecondLinePracticeLocationAddress": "SUITE 203B",
"PracticeLocationAddressCityName": "COLUMBIA",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "65201",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "573-819-5536",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/12/2007",
"LastUpdateDate": "07/13/2007",
"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": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "2006013117",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}