{"npi":"1407296981","type":"NPI-2","status":"active","name":{"display":"Nexus Family Healing","other":[],"organization_name":"NEXUS FAMILY HEALING","authorised_official":"Jason Dunning"},"specialty":{"primary_taxonomy":"261QM0801X","primary_taxonomy_description":"Mental Health Clinic/Center (Including Community Mental Health Center)","slug":"mental-health-clinic-center-including-community-mental-health-center","schema_org_specialty":null,"all":[{"code":"322D00000X","description":"Emotionally Disturbed Childrens' Residential Treatment Facility","primary":false,"state":"IL","license":"223668-06"},{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"365 HEMLOCK","city":"MANTENO","state":"IL","postal_code":"60950","country_code":"US","phone":"8158023700","fax":"8154682320"},{"purpose":"MAILING","street_1":"505 HIGHWAY 169 N STE 500","city":"PLYMOUTH","state":"MN","postal_code":"554416447","country_code":"US","phone":"7635518640","fax":"7635531637"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"2B05-IPI-051","state":"IL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2013-06-28","last_updated":"2020-08-07","_meta":{"source":"NPPES","snapshot_date":"2020-08-07","doc_url":"https://findmynpi.com/api"}}