{
"Npi": {
"NPI": "1952740367",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HALLE",
"FirstName": "ANNETTE",
"MiddleName": "KAY",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HALLE",
"OtherFirstName": "ANNETTE",
"OtherMiddleName": "KAY",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "LSW",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "2026 FULTON RD NW",
"SecondLineMailingAddress": "SUITEC",
"MailingAddressCityName": "CANTON",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44709-3564",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "330-451-2060",
"MailingAddressFaxNumber": "330-451-2061",
"FirstLinePracticeLocationAddress": "2026 FULTON RD NW",
"SecondLinePracticeLocationAddress": "SUITEC",
"PracticeLocationAddressCityName": "CANTON",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44709-3564",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "330-451-2060",
"PracticeLocationAddressFaxNumber": "330-451-2061",
"EnumerationDate": "06/19/2013",
"LastUpdateDate": "06/19/2013",
"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": "101Y00000X",
"TaxonomyName": "Counselor",
"LicenseNumber": "1000333",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}