{"npi":"1164916151","type":"NPI-1","status":"active","name":{"display":"Kelly Simon","other":[],"first":"KELLY","last":"SIMON"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"12918 63RD AVE N","city":"MAPLE GROVE","state":"MN","postal_code":"553696001","country_code":"US","phone":"6125543737"},{"purpose":"MAILING","street_1":"4624 DEERWOOD DR","city":"MINNETONKA","state":"MN","postal_code":"553438679","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20260311001696","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"MN","pac_id":"6204272016"}]},"enumeration_date":"2018-06-21","last_updated":"2026-01-08","_meta":{"source":"NPPES","snapshot_date":"2026-01-08","doc_url":"https://findmynpi.com/api"}}