{
"Npi": {
"NPI": "1942517958",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SANDRA L BLANTON LMHC",
"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": "14080 SE 27TH CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SUMMERFIELD",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34491-2806",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-762-9952",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "14080 SE 27TH CT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SUMMERFIELD",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34491-2806",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-762-9952",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/13/2010",
"LastUpdateDate": "09/13/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BLANTON",
"AuthorizedOfficialFirstName": "SANDRA",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "PSYCHOTHERAPIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMHC",
"AuthorizedOfficialTelephoneNumber": "561-762-9952",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "MH8524",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}