{"npi":"1396730735","type":"NPI-2","status":"active","name":{"display":"Upper Valley Resource And Counseling Center","other":[],"organization_name":"UPPER VALLEY RESOURCE AND COUNSELING CENTER","authorised_official":"Rebecca Hymas"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"36 N 2ND W","city":"REXBURG","state":"ID","postal_code":"834401515","country_code":"US","phone":"2083590519","fax":"2083592493"},{"purpose":"MAILING","street_1":"36 N 2ND W","city":"REXBURG","state":"ID","postal_code":"834401515","country_code":"US","phone":"2083590519","fax":"2083592493"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"00280900","state":"ID","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-09-12","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}