{"npi":"1376704262","type":"NPI-2","status":"active","name":{"display":"Kersten Counseling Center, LLC","other":[],"organization_name":"KERSTEN COUNSELING CENTER, LLC","authorised_official":"Suzanne Kersten"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"NM","license":"I-05378"}]},"addresses":[{"purpose":"LOCATION","street_1":"10701 LOMAS BLVD NE","city":"ALBUQUERQUE","state":"NM","postal_code":"871125463","country_code":"US","street_2":"SUITE 204","phone":"5055509255","fax":"5052982900"},{"purpose":"MAILING","street_1":"10701 LOMAS BLVD NE","city":"ALBUQUERQUE","state":"NM","postal_code":"871125463","country_code":"US","street_2":"SUITE 204","phone":"5055509255","fax":"5052984900"}],"license":{"state":"NM","number":"I-05378"},"identifiers":[{"type_code":"01","label":"Other","value":"804636","state":"NM","issuer":"MAGELLAN"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-06-23","last_updated":"2008-06-23","_meta":{"source":"NPPES","snapshot_date":"2008-06-23","doc_url":"https://findmynpi.com/api"}}