{"npi":"1194296459","type":"NPI-1","status":"active","name":{"display":"Jessica Waage Lpcc","other":[{"code":"1","type":"Formerly known as","value":"CHAVIE, JESSICA"}],"first":"JESSICA","last":"WAAGE","middle":"L","credential":"LPCC"},"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":"MN","license":"3510"},{"code":"101Y00000X","description":"Counselor","primary":false,"state":"MN","license":"2014"}]},"addresses":[{"purpose":"LOCATION","street_1":"715 S 8TH ST","city":"MINNEAPOLIS","state":"MN","postal_code":"554041210","country_code":"US","phone":"6128736963"},{"purpose":"MAILING","street_1":"701 PARK AVE","city":"MINNEAPOLIS","state":"MN","postal_code":"554151623","country_code":"US","phone":"6128733000"}],"license":{"state":"MN","number":"3510"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240104003401","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"MN","pac_id":"9335590256"}]},"enumeration_date":"2018-12-16","last_updated":"2023-10-17","_meta":{"source":"NPPES","snapshot_date":"2023-10-17","doc_url":"https://findmynpi.com/api"}}