{"npi":"1851004584","type":"NPI-2","status":"active","name":{"display":"Gathered Connections Counseling Professional Limited Liability Com","other":[],"organization_name":"GATHERED CONNECTIONS COUNSELING PROFESSIONAL LIMITED LIABILITY COM","authorised_official":"Michele Wiest"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"17505 N 79TH AVE STE 304C","city":"GLENDALE","state":"AZ","postal_code":"853088729","country_code":"US","phone":"6235215096"},{"purpose":"MAILING","street_1":"30175 W MULBERRY DR","city":"BUCKEYE","state":"AZ","postal_code":"853963158","country_code":"US","phone":"6235215096"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20230726001632","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AZ","pac_id":"7911368709"}]},"enumeration_date":"2022-12-27","last_updated":"2023-06-07","_meta":{"source":"NPPES","snapshot_date":"2023-06-07","doc_url":"https://findmynpi.com/api"}}