{"npi":"1104645019","type":"NPI-2","status":"active","name":{"display":"Evolving Yourself Therapy","other":[],"organization_name":"EVOLVING YOURSELF THERAPY","authorised_official":"Charitylyn Bradley"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3103 WILMINGTON RD","city":"NEW CASTLE","state":"PA","postal_code":"161051131","country_code":"US","phone":"7245428716","fax":"7247652014"},{"purpose":"MAILING","street_1":"411 E REYNOLDS ST","city":"NEW CASTLE","state":"PA","postal_code":"161014747","country_code":"US","phone":"7245428716","fax":"7247652014"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250113001000","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"8224566757"}]},"enumeration_date":"2024-10-08","last_updated":"2024-10-08","_meta":{"source":"NPPES","snapshot_date":"2024-10-08","doc_url":"https://findmynpi.com/api"}}