{"npi":"1528091972","type":"NPI-2","status":"active","name":{"display":"Waterside Therapy Associates, P.L.L.C.","other":[],"organization_name":"WATERSIDE THERAPY ASSOCIATES, P.L.L.C.","authorised_official":"Rita Boyette"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"NC","license":"5036"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"NC","license":"C002961"}]},"addresses":[{"purpose":"LOCATION","street_1":"110 BALTIMORE ST","city":"WILLIAMSTON","state":"NC","postal_code":"278922462","country_code":"US","phone":"2529446076","fax":"2529230111"},{"purpose":"MAILING","street_1":"110 BALTIMORE ST","city":"WILLIAMSTON","state":"NC","postal_code":"278922462","country_code":"US","phone":"2529446076","fax":"2529230111"}],"license":{"state":"NC","number":"C002961"},"identifiers":[{"type_code":"01","label":"Other","value":"10894","state":"NC","issuer":"BCBS"},{"type_code":"05","label":"Medicaid","value":"6003548","state":"NC","issuer":null},{"type_code":"05","label":"Medicaid","value":"6102939","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"24392-2143","state":"NC","issuer":"TRICARE"},{"type_code":"01","label":"Other","value":"235086","state":"NC","issuer":"MHN"},{"type_code":"01","label":"Other","value":"14144","state":"NC","issuer":"BCBS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-09","last_updated":"2011-11-14","_meta":{"source":"NPPES","snapshot_date":"2011-11-14","doc_url":"https://findmynpi.com/api"}}