{"npi":"1831233006","type":"NPI-1","status":"active","name":{"display":"Miss Tysha Thornton Ms, Lpc","other":[],"first":"TYSHA","last":"THORNTON","middle":"ELIZABETH","credential":"MS, LPC"},"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":"MO","license":"2004032546"}]},"addresses":[{"purpose":"LOCATION","street_1":"1300 E BRADFORD PKWY","city":"SPRINGFIELD","state":"MO","postal_code":"658044264","country_code":"US","phone":"4177615000","fax":"4177615111"},{"purpose":"MAILING","street_1":"1300 E BRADFORD PKWY","city":"SPRINGFIELD","state":"MO","postal_code":"658044264","country_code":"US","phone":"4177615000","fax":"4177615111"}],"license":{"state":"MO","number":"2004032546"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"498331701","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231128003329","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"MO","pac_id":"9537517701"}]},"enumeration_date":"2007-02-19","last_updated":"2024-10-25","_meta":{"source":"NPPES","snapshot_date":"2024-10-25","doc_url":"https://findmynpi.com/api"}}