{"npi":"1891389722","type":"NPI-1","status":"active","name":{"display":"Marissa Gough","other":[{"code":"1","type":"Formerly known as","value":"BOURGEOIS, MARISSA JORDYN"}],"first":"MARISSA","last":"GOUGH","middle":"JORDYN"},"specialty":{"primary_taxonomy":"101Y00000X","primary_taxonomy_description":"Counselor","slug":"counselor","schema_org_specialty":null,"all":[{"code":"101Y00000X","description":"Counselor","primary":true,"state":"OK","license":"11721"}]},"addresses":[{"purpose":"LOCATION","street_1":"111 SEQUOYAH LN","city":"ALTUS","state":"OK","postal_code":"735211756","country_code":"US","phone":"5803790203"},{"purpose":"MAILING","street_1":"111 SEQUOYAH LN","city":"ALTUS","state":"OK","postal_code":"735211756","country_code":"US","phone":"5803790203"}],"license":{"state":"OK","number":"11721"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-02-22","last_updated":"2025-04-16","_meta":{"source":"NPPES","snapshot_date":"2025-04-16","doc_url":"https://findmynpi.com/api"}}