{"npi":"1114700622","type":"NPI-2","status":"active","name":{"display":"Heritage Christian Counseling Of Shelby","other":[],"organization_name":"HERITAGE CHRISTIAN COUNSELING OF SHELBY","authorised_official":"Jeaneen Perry"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"153 MANSFIELD AVE STE B","city":"SHELBY","state":"OH","postal_code":"448751832","country_code":"US","phone":"5678440036"},{"purpose":"MAILING","street_1":"153 MANSFIELD AVE STE B","city":"SHELBY","state":"OH","postal_code":"448751832","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240322004197","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"6406293687"}]},"enumeration_date":"2023-08-17","last_updated":"2024-09-10","_meta":{"source":"NPPES","snapshot_date":"2024-09-10","doc_url":"https://findmynpi.com/api"}}