{"npi":"1114770989","type":"NPI-2","status":"active","name":{"display":"Fenwood Licensed Professional Clinical Counselor, PC","other":[],"organization_name":"FENWOOD LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC","authorised_official":"Lindsey Buck-Moyer"},"specialty":{"primary_taxonomy":"261QM0801X","primary_taxonomy_description":"Mental Health Clinic/Center (Including Community Mental Health Center)","slug":"mental-health-clinic-center-including-community-mental-health-center","schema_org_specialty":null,"all":[{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"5800 STANFORD RANCH RD STE 610","city":"ROCKLIN","state":"CA","postal_code":"957654387","country_code":"US","phone":"9162519474"},{"purpose":"MAILING","street_1":"8690 SIERRA COLLEGE BLVD STE 160-140","city":"ROSEVILLE","state":"CA","postal_code":"956615961","country_code":"US","phone":"9162519474"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-04-10","last_updated":"2024-04-10","_meta":{"source":"NPPES","snapshot_date":"2024-04-10","doc_url":"https://findmynpi.com/api"}}