{"npi":"1033765896","type":"NPI-1","status":"active","name":{"display":"Rebecca Wallace Lpc","other":[{"code":"1","type":"Formerly known as","value":"HOLTMANN, REBECCA KAY"}],"first":"REBECCA","last":"WALLACE","middle":"KAY","credential":"LPC"},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":"MO","license":"2019004134"}]},"addresses":[{"purpose":"LOCATION","street_1":"1032 CROSSWINDS CT","city":"WENTZVILLE","state":"MO","postal_code":"633854836","country_code":"US","phone":"8884031071"},{"purpose":"MAILING","street_1":"1800 COMMUNITY","city":"CLINTON","state":"MO","postal_code":"647358804","country_code":"US","phone":"6608858131"}],"license":{"state":"MO","number":"2019004134"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231127002873","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"MO","pac_id":"6800244187"}]},"enumeration_date":"2019-08-16","last_updated":"2021-05-07","_meta":{"source":"NPPES","snapshot_date":"2021-05-07","doc_url":"https://findmynpi.com/api"}}