{"npi":"1619201746","type":"NPI-2","status":"active","name":{"display":"Center For Creative Change","other":[],"organization_name":"CENTER FOR CREATIVE CHANGE","authorised_official":"Lynn James"},"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":"MO","license":"001502"}]},"addresses":[{"purpose":"LOCATION","street_1":"506 NORTH ST","city":"FARMINGTON","state":"MO","postal_code":"636403213","country_code":"US","phone":"5737563330","fax":"5737473023"},{"purpose":"MAILING","street_1":"PO BOX 506","city":"FARMINGTON","state":"MO","postal_code":"636400506","country_code":"US","phone":"5737563330","fax":"5737473023"}],"license":{"state":"MO","number":"001502"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"493642904","state":"MO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2009-09-22","last_updated":"2009-09-22","_meta":{"source":"NPPES","snapshot_date":"2009-09-22","doc_url":"https://findmynpi.com/api"}}