{"npi":"1104855279","type":"NPI-2","status":"active","name":{"display":"Associated Counseling Services, Inc.","other":[],"organization_name":"ASSOCIATED COUNSELING SERVICES, INC.","authorised_official":"Carol Wesley"},"specialty":{"primary_taxonomy":"103TP2701X","primary_taxonomy_description":"Group Psychotherapy Psychologist","slug":"group-psychotherapy-psychologist","schema_org_specialty":null,"all":[{"code":"103TP2701X","description":"Group Psychotherapy Psychologist","primary":true,"state":"WI","license":"2503"}]},"addresses":[{"purpose":"LOCATION","street_1":"614 N 3RD AVE","city":"WAUSAU","state":"WI","postal_code":"544012913","country_code":"US","street_2":"SUITE A","phone":"7158483031","fax":"7158485008"},{"purpose":"MAILING","street_1":"PO BOX 1721","city":"WAUSAU","state":"WI","postal_code":"544021721","country_code":"US","phone":"7158483031","fax":"7158485008"}],"license":{"state":"WI","number":"2503"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"42126700","state":"WI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-01","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}