{
"Npi": {
"NPI": "1992456909",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "STANLEY",
"FirstName": "MOLLY",
"MiddleName": "ROSE",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LGPC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1212 E CHURCHVILLE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BEL AIR",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21014-3416",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "443-595-7627",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "111 W HIGH ST STE 109",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ELKTON",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21921-5549",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "443-760-3620",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/11/2022",
"LastUpdateDate": "07/03/2025",
"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": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "LGP11608",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "LC13897",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}