{"npi":"1669050746","type":"NPI-1","status":"active","name":{"display":"Katelyn Weber","other":[],"first":"KATELYN","last":"WEBER"},"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":"MN","license":"29067"},{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":null,"license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"MN","license":"29067"}]},"addresses":[{"purpose":"LOCATION","street_1":"2405 8TH ST S STE 200","city":"MOORHEAD","state":"MN","postal_code":"565604200","country_code":"US","phone":"2183314866"},{"purpose":"MAILING","street_1":"1900 SILVER LAKE RD NW STE 110","city":"NEW BRIGHTON","state":"MN","postal_code":"551121789","country_code":"US","phone":"6513791766"}],"license":{"state":"MN","number":"29067"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230612003188","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"MN","pac_id":"6709243306"}]},"enumeration_date":"2021-03-31","last_updated":"2023-05-30","_meta":{"source":"NPPES","snapshot_date":"2023-05-30","doc_url":"https://findmynpi.com/api"}}