{"npi":"1962775213","type":"NPI-1","status":"active","name":{"display":"Kylie Liddle Ms, Lmhc","other":[],"first":"KYLIE","last":"LIDDLE","middle":"J","credential":"MS, LMHC"},"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":false,"state":null,"license":null},{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"FL","license":"MH16282"},{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":"IN","license":"39004731A"}]},"addresses":[{"purpose":"LOCATION","street_1":"12553 NEW BRITTANY BLVD # 32","city":"FORT MYERS","state":"FL","postal_code":"339073625","country_code":"US","phone":"7274908513"},{"purpose":"MAILING","street_1":"1451 E WEHNER DR","city":"MADISON","state":"IN","postal_code":"472508601","country_code":"US","phone":"2398963194"}],"license":{"state":"IN","number":"39004731A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1962775213","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231127001534","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"IN","pac_id":"6103274550"}]},"enumeration_date":"2012-02-17","last_updated":"2024-08-02","_meta":{"source":"NPPES","snapshot_date":"2024-08-02","doc_url":"https://findmynpi.com/api"}}