{
"Npi": {
"NPI": "1972223907",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ALVIZU",
"FirstName": "MAX",
"MiddleName": "JOHN ANTHONY",
"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": "166 E HILLSIDE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BARRINGTON",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60010-4756",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-254-5482",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "405 CENTRAL AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTHFIELD",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60093-3006",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-254-5482",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/30/2022",
"LastUpdateDate": "08/30/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"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": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}