{"npi":"1366808974","type":"NPI-1","status":"active","name":{"display":"Mary Theis Ma, Cslg Psy  Lcpc","other":[],"first":"MARY","last":"THEIS","credential":"MA, CSLG PSY  LCPC"},"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":"IL","license":"180.004853"}]},"addresses":[{"purpose":"LOCATION","street_1":"9343 DRAKE AVE","city":"EVANSTON","state":"IL","postal_code":"602031406","country_code":"US","phone":"8476777022"},{"purpose":"MAILING","street_1":"9343 DRAKE AVE","city":"EVANSTON","state":"IL","postal_code":"602031406","country_code":"US","phone":"8476777022"}],"license":{"state":"IL","number":"180.004853"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2016-01-12","last_updated":"2016-01-12","_meta":{"source":"NPPES","snapshot_date":"2016-01-12","doc_url":"https://findmynpi.com/api"}}