{"npi":"1144708942","type":"NPI-2","status":"active","name":{"display":"Nickles Counseling, LLC","other":[],"organization_name":"NICKLES COUNSELING, LLC","authorised_official":"Carol Nickles"},"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":"WI","license":"2843-123"}]},"addresses":[{"purpose":"LOCATION","street_1":"401 WISCONSIN AVE","city":"MADISON","state":"WI","postal_code":"537031487","country_code":"US","phone":"6082565115","fax":"6082565116"},{"purpose":"MAILING","street_1":"401 WISCONSIN AVE","city":"MADISON","state":"WI","postal_code":"537031487","country_code":"US","phone":"6082565115","fax":"6082565116"}],"license":{"state":"WI","number":"2843-123"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1780138776","state":"WI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2018-08-02","last_updated":"2018-08-02","_meta":{"source":"NPPES","snapshot_date":"2018-08-02","doc_url":"https://findmynpi.com/api"}}