{"npi":"1912633801","type":"NPI-1","status":"active","name":{"display":"Michaela Henderson Ms, Lcmhca, Ncc","other":[],"first":"MICHAELA","last":"HENDERSON","middle":"SIMONE","credential":"MS, LCMHCA, NCC"},"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":"250 EXECUTIVE PARK BLVD STE 120","city":"WINSTON SALEM","state":"NC","postal_code":"271031534","country_code":"US","phone":"3367702477"},{"purpose":"MAILING","street_1":"250 EXECUTIVE PARK BLVD STE 120","city":"WINSTON SALEM","state":"NC","postal_code":"271031534","country_code":"US","phone":"3367702477"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-07-25","last_updated":"2023-11-10","_meta":{"source":"NPPES","snapshot_date":"2023-11-10","doc_url":"https://findmynpi.com/api"}}