{"npi":"1508683053","type":"NPI-1","status":"active","name":{"display":"Mrs. Nicole Riley Ma, Llpc","other":[{"code":"1","type":"Formerly known as","value":"MENDEZ, NICOLE"}],"first":"NICOLE","last":"RILEY","credential":"MA, LLPC"},"specialty":{"primary_taxonomy":"101Y00000X","primary_taxonomy_description":"Counselor","slug":"counselor","schema_org_specialty":null,"all":[{"code":"101Y00000X","description":"Counselor","primary":true,"state":"MI","license":"6451023916"}]},"addresses":[{"purpose":"LOCATION","street_1":"678 FRONT AVE NW STE 100","city":"GRAND RAPIDS","state":"MI","postal_code":"495045323","country_code":"US","phone":"6169163711"},{"purpose":"MAILING","street_1":"10875 DOUGLAS DR","city":"ALLENDALE","state":"MI","postal_code":"494017406","country_code":"US","phone":"7739515243"}],"license":{"state":"MI","number":"6451023916"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-09-25","last_updated":"2024-09-25","_meta":{"source":"NPPES","snapshot_date":"2024-09-25","doc_url":"https://findmynpi.com/api"}}