{
"Npi": {
"NPI": "1952935967",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SHEKINAH COUNSELING AND CONSULTING LLC",
"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": "PO BOX 2063",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALMETTO",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34220-2063",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "941-807-2670",
"MailingAddressFaxNumber": "855-240-3641",
"FirstLinePracticeLocationAddress": "600 8TH AVE W STE 200",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PALMETTO",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34221-5162",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "941-807-2670",
"PracticeLocationAddressFaxNumber": "855-240-3641",
"EnumerationDate": "02/28/2020",
"LastUpdateDate": "02/28/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILLEY",
"AuthorizedOfficialFirstName": "BRIE-ANNA",
"AuthorizedOfficialMiddleName": "MICHELLE",
"AuthorizedOfficialTitle": "OWNER/COUNSELOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMHC",
"AuthorizedOfficialTelephoneNumber": "941-807-2670",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}