{"npi":"1215717962","type":"NPI-2","status":"active","name":{"display":"Grey Street Counseling Center LLC","other":[],"organization_name":"GREY STREET COUNSELING CENTER LLC","authorised_official":"Dana Wallace"},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"104100000X","description":"Social Worker","primary":false,"state":null,"license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":null,"license":null},{"code":"106H00000X","description":"Marriage & Family Therapist","primary":false,"state":null,"license":null},{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"504 WOLCOTT RD STE D","city":"WOLCOTT","state":"CT","postal_code":"067162462","country_code":"US","phone":"2034417557"},{"purpose":"MAILING","street_1":"504 WOLCOTT RD STE D","city":"WOLCOTT","state":"CT","postal_code":"067162462","country_code":"US","phone":"2034417557"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2023-10-02","last_updated":"2024-01-05","_meta":{"source":"NPPES","snapshot_date":"2024-01-05","doc_url":"https://findmynpi.com/api"}}