{"npi":"1962040469","type":"NPI-1","status":"active","name":{"display":"Kristin Southworth","other":[],"first":"KRISTIN","last":"SOUTHWORTH"},"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":"MN","license":"2296"}]},"addresses":[{"purpose":"LOCATION","street_1":"18205 45TH AVE N STE C","city":"PLYMOUTH","state":"MN","postal_code":"554464594","country_code":"US","phone":"6514784099"},{"purpose":"MAILING","street_1":"868 CARROLL AVE","city":"SAINT PAUL","state":"MN","postal_code":"551045411","country_code":"US"}],"license":{"state":"MN","number":"2296"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240112001017","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"MN","pac_id":"9638520745"}]},"enumeration_date":"2019-12-16","last_updated":"2023-01-06","_meta":{"source":"NPPES","snapshot_date":"2023-01-06","doc_url":"https://findmynpi.com/api"}}