{"npi":"1124601125","type":"NPI-2","status":"active","name":{"display":"Indigo Bridges Counseling, PLLC","other":[],"organization_name":"INDIGO BRIDGES COUNSELING, PLLC","authorised_official":"Marilyn Daniel"},"specialty":{"primary_taxonomy":"101Y00000X","primary_taxonomy_description":"Counselor","slug":"counselor","schema_org_specialty":null,"all":[{"code":"101Y00000X","description":"Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1541 E 61ST ST","city":"TULSA","state":"OK","postal_code":"741360718","country_code":"US","phone":"9188916928"},{"purpose":"MAILING","street_1":"1541 E 61ST ST","city":"TULSA","state":"OK","postal_code":"741360718","country_code":"US","phone":"9188916928"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"7580","state":"OK","issuer":"LPC LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250218001509","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OK","pac_id":"1557881828"}]},"enumeration_date":"2021-04-28","last_updated":"2025-02-14","_meta":{"source":"NPPES","snapshot_date":"2025-02-14","doc_url":"https://findmynpi.com/api"}}