{"npi":"1902837636","type":"NPI-2","status":"active","name":{"display":"Lifeway Counseling Centers, Inc.","other":[],"organization_name":"LIFEWAY COUNSELING CENTERS, INC.","authorised_official":"Martin Re"},"specialty":{"primary_taxonomy":"103TC1900X","primary_taxonomy_description":"Counseling Psychologist","slug":"counseling-psychologist","schema_org_specialty":null,"all":[{"code":"103TC1900X","description":"Counseling Psychologist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"11161 KENWOOD RD","city":"CINCINNATI","state":"OH","postal_code":"452421817","country_code":"US","phone":"5137694600","fax":"5137690304"},{"purpose":"MAILING","street_1":"11161 KENWOOD RD","city":"CINCINNATI","state":"OH","postal_code":"452421817","country_code":"US","phone":"5137694600","fax":"5137690304"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050104000225","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"8729036033"}]},"enumeration_date":"2006-07-05","last_updated":"2013-05-23","_meta":{"source":"NPPES","snapshot_date":"2013-05-23","doc_url":"https://findmynpi.com/api"}}