{"npi":"1386952604","type":"NPI-1","status":"active","name":{"display":"Susan Buckallew Med, Lpc","other":[],"first":"SUSAN","last":"BUCKALLEW","middle":"G","credential":"MED, LPC"},"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":"MO","license":"2010032751"}]},"addresses":[{"purpose":"LOCATION","street_1":"2015 S HALLIBURTON ST","city":"KIRKSVILLE","state":"MO","postal_code":"635014646","country_code":"US","phone":"6606260698"},{"purpose":"MAILING","street_1":"1101 JAMISON ST","city":"KIRKSVILLE","state":"MO","postal_code":"635013943","country_code":"US","phone":"6606651962","fax":"6606270642"}],"license":{"state":"MO","number":"2010032751"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231206002972","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"MO","pac_id":"5395194096"}]},"enumeration_date":"2010-09-21","last_updated":"2026-03-23","_meta":{"source":"NPPES","snapshot_date":"2026-03-23","doc_url":"https://findmynpi.com/api"}}