{"npi":"1306119086","type":"NPI-2","status":"active","name":{"display":"David's Loft Clinical Programs","other":[],"organization_name":"DAVID'S LOFT CLINICAL PROGRAMS","authorised_official":"David Thompson"},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":"MD","license":"LC2650"}]},"addresses":[{"purpose":"LOCATION","street_1":"2641 MARYLAND AVENUE","city":"BALTIMORE","state":"MD","postal_code":"21218","country_code":"US","phone":"4108004226","fax":"4103877637"},{"purpose":"MAILING","street_1":"2641 MARYLAND AVENUE","city":"BALTIMORE","state":"MD","postal_code":"20715","country_code":"US","phone":"4108004226","fax":"4103877637"}],"license":{"state":"MD","number":"LC2650"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"908601301","state":"MD","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2012-02-11","last_updated":"2022-02-15","_meta":{"source":"NPPES","snapshot_date":"2022-02-15","doc_url":"https://findmynpi.com/api"}}