{"npi":"1699933036","type":"NPI-1","status":"active","name":{"display":"Theresa Dewalt","other":[],"first":"THERESA","last":"DEWALT"},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":"WI","license":"3369-125"}]},"addresses":[{"purpose":"LOCATION","street_1":"1220 MOUND AVE STE 304","city":"RACINE","state":"WI","postal_code":"534043350","country_code":"US","phone":"2624880011"},{"purpose":"MAILING","street_1":"1220 MOUND AVE STE 304","city":"RACINE","state":"WI","postal_code":"534043350","country_code":"US","phone":"2624880011"}],"license":{"state":"WI","number":"3369-125"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"40978600","state":"WI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-05-31","last_updated":"2008-05-31","_meta":{"source":"NPPES","snapshot_date":"2008-05-31","doc_url":"https://findmynpi.com/api"}}