{"npi":"1790858751","type":"NPI-1","status":"active","name":{"display":"Ms. Jeanmarie Reynolds Lpc","other":[],"first":"JEANMARIE","last":"REYNOLDS","credential":"LPC"},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"MO","license":"2000171103"},{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":"MO","license":"2000171103"}]},"addresses":[{"purpose":"LOCATION","street_1":"75 MIDLAND AVE","city":"MARYLAND HEIGHTS","state":"MO","postal_code":"630432625","country_code":"US","phone":"3145838377"},{"purpose":"MAILING","street_1":"2784 CORRAL EST","city":"ARNOLD","state":"MO","postal_code":"630104102","country_code":"US","phone":"3145838377"}],"license":{"state":"MO","number":"2000171103"},"identifiers":[{"type_code":"01","label":"Other","value":"001273705","state":"MO","issuer":"CTS VENDOR NUMBER"},{"type_code":"05","label":"Medicaid","value":"494847809","state":"MO","issuer":null},{"type_code":"01","label":"Other","value":"164436","state":"MO","issuer":"BLUE CROSS BLUE SHIELD"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-11-16","last_updated":"2024-01-12","_meta":{"source":"NPPES","snapshot_date":"2024-01-12","doc_url":"https://findmynpi.com/api"}}