{"npi":"1700527280","type":"NPI-1","status":"active","name":{"display":"Kevin Bergeron Sudpt","other":[],"first":"KEVIN","last":"BERGERON","middle":"R","credential":"SUDPT"},"specialty":{"primary_taxonomy":"101YA0400X","primary_taxonomy_description":"Addiction Counselor","slug":"addiction-counselor","schema_org_specialty":"Psychiatric","all":[{"code":"101YA0400X","description":"Addiction Counselor","primary":true,"state":"WA","license":"CO61275243"}]},"addresses":[{"purpose":"LOCATION","street_1":"1703 DOUGLAS CT","city":"MILTON","state":"WA","postal_code":"983549727","country_code":"US","phone":"3608887087"},{"purpose":"MAILING","street_1":"500 SE WASHINGTON AVE","city":"CHEHALIS","state":"WA","postal_code":"985323058","country_code":"US","phone":"3607484776"}],"license":{"state":"WA","number":"CO61275243"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2077844","state":"WA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-04-06","last_updated":"2024-08-13","_meta":{"source":"NPPES","snapshot_date":"2024-08-13","doc_url":"https://findmynpi.com/api"}}