{
"Npi": {
"NPI": "1942352620",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BALZARETT",
"FirstName": "CATHERINE",
"MiddleName": "OLIVIA",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "RN, MS, APN-BC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "10102 SANDERS CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREAT FALLS",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22066-2541",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-759-2596",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8206 LEESBURG PIKE",
"SecondLinePracticeLocationAddress": "SUITE 207",
"PracticeLocationAddressCityName": "VIENNA",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22182-2614",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-893-8586",
"PracticeLocationAddressFaxNumber": "703-893-3879",
"EnumerationDate": "01/16/2007",
"LastUpdateDate": "07/08/2007",
"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": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "0001101039",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}