{"npi":"1215323977","type":"NPI-1","status":"active","name":{"display":"Michelle Buckholz Sudp","other":[],"first":"MICHELLE","last":"BUCKHOLZ","credential":"SUDP"},"specialty":{"primary_taxonomy":"101YA0400X","primary_taxonomy_description":"Addiction Counselor","slug":"addiction-counselor","schema_org_specialty":"Psychiatric","all":[{"code":"101YA0400X","description":"Addiction Counselor","primary":true,"state":"WA","license":"CP60551022"}]},"addresses":[{"purpose":"LOCATION","street_1":"621 GRADE ST","city":"KELSO","state":"WA","postal_code":"986262606","country_code":"US","phone":"3604259210"},{"purpose":"MAILING","street_1":"1057 12TH AVE","city":"LONGVIEW","state":"WA","postal_code":"986322509","country_code":"US","phone":"3604259210"}],"license":{"state":"WA","number":"CP60551022"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2088085","state":"WA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2015-04-09","last_updated":"2023-10-23","_meta":{"source":"NPPES","snapshot_date":"2023-10-23","doc_url":"https://findmynpi.com/api"}}