{"npi":"1922561612","type":"NPI-1","status":"active","name":{"display":"Jessica Ivancic Ms, Lcpc","other":[],"first":"JESSICA","last":"IVANCIC","credential":"MS, LCPC"},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":"ID","license":"LCPC7364"}]},"addresses":[{"purpose":"LOCATION","street_1":"3320 N MILWAUKEE ST STE 160","city":"BOISE","state":"ID","postal_code":"837040726","country_code":"US","phone":"2088170965"},{"purpose":"MAILING","street_1":"3320 N MILWAUKEE ST STE 160","city":"BOISE","state":"ID","postal_code":"837040726","country_code":"US"}],"license":{"state":"ID","number":"LCPC7364"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-04-09","last_updated":"2024-02-16","_meta":{"source":"NPPES","snapshot_date":"2024-02-16","doc_url":"https://findmynpi.com/api"}}