{"npi":"1831367572","type":"NPI-1","status":"active","name":{"display":"Cerendia Woollums Lpc","other":[],"first":"CERENDIA","last":"WOOLLUMS","credential":"LPC"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"101 S MAIN ST","city":"POPLAR BLUFF","state":"MO","postal_code":"639015843","country_code":"US","phone":"5736246937","fax":"5736242350"},{"purpose":"MAILING","street_1":"PO BOX 107","city":"POPLAR BLUFF","state":"MO","postal_code":"639020107","country_code":"US","phone":"5736246937","fax":"5736242350"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"11824391","state":null,"issuer":"CAQH"},{"type_code":"05","label":"Medicaid","value":"1831367572","state":"MO","issuer":null},{"type_code":"01","label":"Other","value":"2773","state":null,"issuer":"EAP IMPACT"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-02-15","last_updated":"2011-08-04","_meta":{"source":"NPPES","snapshot_date":"2011-08-04","doc_url":"https://findmynpi.com/api"}}