{"npi":"1336728724","type":"NPI-2","status":"active","name":{"display":"Phoenix Domus","other":[],"organization_name":"PHOENIX DOMUS","authorised_official":"Gregory Mcconnell"},"specialty":{"primary_taxonomy":"101YA0400X","primary_taxonomy_description":"Addiction Counselor","slug":"addiction-counselor","schema_org_specialty":"Psychiatric","all":[{"code":"101YA0400X","description":"Addiction Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"114 BEECH AVE","city":"ALTOONA","state":"PA","postal_code":"166014235","country_code":"US","phone":"8145025157"},{"purpose":"MAILING","street_1":"114 BEECH AVE","city":"ALTOONA","state":"PA","postal_code":"166014235","country_code":"US","phone":"8145025157"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"077037","state":"PA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-04-05","last_updated":"2021-04-06","_meta":{"source":"NPPES","snapshot_date":"2021-04-06","doc_url":"https://findmynpi.com/api"}}