{"npi":"1306289194","type":"NPI-2","status":"active","name":{"display":"Grand Island Mental Health LLC","other":[],"organization_name":"GRAND ISLAND MENTAL HEALTH LLC","authorised_official":"Debra Erickson"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1917 W FAIDLEY AVE","city":"GRAND ISLAND","state":"NE","postal_code":"688034642","country_code":"US","phone":"3083980350","fax":"3083980351"},{"purpose":"MAILING","street_1":"1917 W FAIDLEY AVE","city":"GRAND ISLAND","state":"NE","postal_code":"688034642","country_code":"US","phone":"3083980350","fax":"3083980351"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20201231000387","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NE","pac_id":"1153734629"}]},"enumeration_date":"2013-04-10","last_updated":"2020-12-14","_meta":{"source":"NPPES","snapshot_date":"2020-12-14","doc_url":"https://findmynpi.com/api"}}