{
"Npi": {
"NPI": "1972257806",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "VELEZ-KELSEY",
"FirstName": "BLAIR",
"MiddleName": "NOEL",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MHCP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KELSEY",
"OtherFirstName": "NOELLE",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MHCP",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "424 S GRANITE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OMAK",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98841-9541",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "831-234-4234",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1009 KOALA DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OMAK",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98841-9247",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "509-826-8444",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/09/2022",
"LastUpdateDate": "02/09/2022",
"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": "CG61223433",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}