{"npi":"1619255601","type":"NPI-2","status":"active","name":{"display":"South Central Counseling Group","other":[],"organization_name":"SOUTH CENTRAL COUNSELING GROUP","authorised_official":"Staci Vinson"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"VA","license":"0904006760"}]},"addresses":[{"purpose":"LOCATION","street_1":"1046 MAIN STREET","city":"DILLWYN","state":"VA","postal_code":"23936","country_code":"US","phone":"4348080604","fax":"4348080716"},{"purpose":"MAILING","street_1":"977 DEVON SPRING CT","city":"CHARLOTTESVILLE","state":"VA","postal_code":"229037833","country_code":"US","phone":"8046835306"}],"license":{"state":"VA","number":"0904006760"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1093004871","state":"VA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120125000117","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"VA","pac_id":"1052588563"}]},"enumeration_date":"2011-07-26","last_updated":"2011-07-26","_meta":{"source":"NPPES","snapshot_date":"2011-07-26","doc_url":"https://findmynpi.com/api"}}