{"npi":"1831768258","type":"NPI-1","status":"active","name":{"display":"Mr. Robert Booth","other":[],"first":"ROBERT","last":"BOOTH","middle":"JOHN"},"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":"2500 E ENTERPRISE AVE STE B","city":"APPLETON","state":"WI","postal_code":"549138556","country_code":"US","phone":"9204168577"},{"purpose":"MAILING","street_1":"1809 HICKORY LN","city":"OSHKOSH","state":"WI","postal_code":"549012510","country_code":"US","phone":"8773009101"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"42251300","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231222001843","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"WI","pac_id":"6608226238"}]},"enumeration_date":"2021-06-21","last_updated":"2023-04-14","_meta":{"source":"NPPES","snapshot_date":"2023-04-14","doc_url":"https://findmynpi.com/api"}}