{
"Npi": {
"NPI": "1982742714",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RICHTER",
"FirstName": "MARC",
"MiddleName": "D.",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LICSW, LADC, CADC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "268 CARPENTER RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHARLOTTE",
"MailingAddressStateName": "VT",
"MailingAddressPostalCode": "05445-9281",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "802-425-7771",
"MailingAddressFaxNumber": "802-540-8199",
"FirstLinePracticeLocationAddress": "2 CHURCH ST",
"SecondLinePracticeLocationAddress": "SUITE 3G",
"PracticeLocationAddressCityName": "BURLINGTON",
"PracticeLocationAddressStateName": "VT",
"PracticeLocationAddressPostalCode": "05401-4299",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "866-429-2074",
"PracticeLocationAddressFaxNumber": "802-540-8199",
"EnumerationDate": "02/02/2007",
"LastUpdateDate": "11/30/2018",
"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": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
"LicenseNumber": "000372",
"LicenseNumberStateCode": "VT",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
"LicenseNumber": "103704",
"LicenseNumberStateCode": "VT",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "089-0000658",
"LicenseNumberStateCode": "VT",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}