{"npi":"1376161026","type":"NPI-1","status":"active","name":{"display":"Tyler O'sullivan Bs Act","other":[],"first":"TYLER","last":"O'SULLIVAN","middle":"ROSE","credential":"BS ACT"},"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":"SD","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1520 HAINES AVE STE 6","city":"RAPID CITY","state":"SD","postal_code":"577010710","country_code":"US","phone":"6057167841"},{"purpose":"MAILING","street_1":"1520 HAINES AVE STE 6","city":"RAPID CITY","state":"SD","postal_code":"577010710","country_code":"US","phone":"6057167841"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"110119887193227889","state":"SD","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2020-07-09","last_updated":"2020-07-09","_meta":{"source":"NPPES","snapshot_date":"2020-07-09","doc_url":"https://findmynpi.com/api"}}