{"npi":"1730936642","type":"NPI-1","status":"active","name":{"display":"Mr. Brock Jenikovsky Cadc-Ii, Icadc","other":[],"first":"BROCK","last":"JENIKOVSKY","middle":"DEVERE CARTER","credential":"CADC-II, ICADC"},"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":"CA","license":"A051980920"}]},"addresses":[{"purpose":"LOCATION","street_1":"44359 PALM ST","city":"INDIO","state":"CA","postal_code":"922013116","country_code":"US","phone":"7603426616","fax":"7603478276"},{"purpose":"MAILING","street_1":"51165 EISENHOWER DR APT B","city":"LA QUINTA","state":"CA","postal_code":"922533084","country_code":"US","phone":"7608837441"}],"license":{"state":"CA","number":"A051980920"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-04-30","last_updated":"2024-04-30","_meta":{"source":"NPPES","snapshot_date":"2024-04-30","doc_url":"https://findmynpi.com/api"}}