{
"Npi": {
"NPI": "1932414158",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WENTZ",
"FirstName": "JENNIFER",
"MiddleName": null,
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "MFT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MCKAY",
"OtherFirstName": "JENNIFER",
"OtherMiddleName": null,
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "MA",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "101 GREGORY LN",
"SecondLineMailingAddress": "SUITE 33",
"MailingAddressCityName": "PLEASANT HILL",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94523-4982",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "925-827-9876",
"MailingAddressFaxNumber": "925-827-1008",
"FirstLinePracticeLocationAddress": "101 GREGORY LN",
"SecondLinePracticeLocationAddress": "SUITE 33",
"PracticeLocationAddressCityName": "PLEASANT HILL",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94523-4982",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "925-827-9876",
"PracticeLocationAddressFaxNumber": "925-827-1008",
"EnumerationDate": "08/12/2010",
"LastUpdateDate": "08/12/2010",
"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": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "MFC 44502",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}