{"npi":"1669413175","type":"NPI-2","status":"active","name":{"display":"Community Counseling Centers INC","other":[],"organization_name":"COMMUNITY COUNSELING CENTERS INC","authorised_official":"Ivan Wilderman"},"specialty":{"primary_taxonomy":"261QM0801X","primary_taxonomy_description":"Mental Health Clinic/Center (Including Community Mental Health Center)","slug":"mental-health-clinic-center-including-community-mental-health-center","schema_org_specialty":null,"all":[{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":true,"state":"AZ","license":"BH141"}]},"addresses":[{"purpose":"LOCATION","street_1":"211 EAST THIRD STREET","city":"WINSLOW","state":"AZ","postal_code":"860473802","country_code":"US","phone":"9282894658","fax":"9282893775"},{"purpose":"MAILING","street_1":"211 EAST THIRD STREET","city":"WINSLOW","state":"AZ","postal_code":"860473802","country_code":"US","phone":"9282894658","fax":"9282893775"}],"license":{"state":"AZ","number":"BH141"},"identifiers":[{"type_code":"01","label":"Other","value":"007452","state":"AZ","issuer":"AHCCCS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-08","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}