{"npi":"1205314754","type":"NPI-2","status":"active","name":{"display":"Abundant Life Therapy, LLC","other":[],"organization_name":"ABUNDANT LIFE THERAPY, LLC","authorised_official":"Debra Wilson"},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"101YA0400X","description":"Addiction Counselor","primary":false,"state":null,"license":null},{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1401 S TAFT AVE STE 206","city":"LOVELAND","state":"CO","postal_code":"805376962","country_code":"US","phone":"3072744398"},{"purpose":"MAILING","street_1":"PO BOX 21511","city":"CHEYENNE","state":"WY","postal_code":"820037029","country_code":"US","phone":"3072744398","fax":"3073694039"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240131004022","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CO","pac_id":"7517310097"},{"enrlmt_id":"O20240826000225","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WY","pac_id":"7517310097"}]},"enumeration_date":"2018-08-06","last_updated":"2020-09-01","_meta":{"source":"NPPES","snapshot_date":"2020-09-01","doc_url":"https://findmynpi.com/api"}}