{"npi":"1245580976","type":"NPI-1","status":"active","name":{"display":"Patrick Revello Ma, Lpc","other":[],"first":"PATRICK","last":"REVELLO","middle":"JOHN","credential":"MA, LPC"},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":null,"license":null},{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":"NJ","license":"37PC00601200"}]},"addresses":[{"purpose":"LOCATION","street_1":"14 MAIN ST","city":"SPARTA","state":"NJ","postal_code":"078711948","country_code":"US","phone":"2014989140"},{"purpose":"MAILING","street_1":"14 MAIN ST","city":"SPARTA","state":"NJ","postal_code":"078711948","country_code":"US","phone":"2014989140"}],"license":{"state":"NJ","number":"37PC00601200"},"identifiers":[{"type_code":"01","label":"Other","value":"0023701","state":"NJ","issuer":"AGENCY PROVIDER #"},{"type_code":"01","label":"Other","value":"7794703","state":"NJ","issuer":"AGENCY PROGRAM PROVIDER #"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2012-09-10","last_updated":"2025-01-17","_meta":{"source":"NPPES","snapshot_date":"2025-01-17","doc_url":"https://findmynpi.com/api"}}