{"npi":"1326316514","type":"NPI-1","status":"active","name":{"display":"Mr. Bevin Modrak Lcpc","other":[],"first":"BEVIN","last":"MODRAK","middle":"JAY","credential":"LCPC"},"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":"ID","license":"LCPC4698"}]},"addresses":[{"purpose":"LOCATION","street_1":"204 S COLE RD","city":"BOISE","state":"ID","postal_code":"837090934","country_code":"US","phone":"2083199786","fax":"2083197773"},{"purpose":"MAILING","street_1":"6568 S FEDERAL WAY","city":"BOISE","state":"ID","postal_code":"837169277","country_code":"US","street_2":"#124","phone":"2082839710","fax":"2083197773"}],"license":{"state":"ID","number":"LCPC4698"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2011-12-02","last_updated":"2023-03-29","_meta":{"source":"NPPES","snapshot_date":"2023-03-29","doc_url":"https://findmynpi.com/api"}}