{"npi":"1972269652","type":"NPI-1","status":"active","name":{"display":"Kelly Waller Lmhc","other":[],"first":"KELLY","last":"WALLER","middle":"ANN","credential":"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":true,"state":"NY","license":"011709"}]},"addresses":[{"purpose":"LOCATION","street_1":"54 CHICAGO AVE","city":"MASSAPEQUA","state":"NY","postal_code":"117584422","country_code":"US","phone":"5168040448"},{"purpose":"MAILING","street_1":"304 N UTICA AVE","city":"MASSAPEQUA","state":"NY","postal_code":"117582148","country_code":"US","phone":"5164773203"}],"license":{"state":"NY","number":"011709"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-11-16","last_updated":"2021-11-16","_meta":{"source":"NPPES","snapshot_date":"2021-11-16","doc_url":"https://findmynpi.com/api"}}