{"npi":"1982349320","type":"NPI-2","status":"active","name":{"display":"Advanced Psychotherapy Practice LLC","other":[],"organization_name":"ADVANCED PSYCHOTHERAPY PRACTICE LLC","authorised_official":"Leshae Rice"},"specialty":{"primary_taxonomy":"101YA0400X","primary_taxonomy_description":"Addiction Counselor","slug":"addiction-counselor","schema_org_specialty":"Psychiatric","all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":null,"license":null},{"code":"101YA0400X","description":"Addiction Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3380 MAIN ST","city":"STRATFORD","state":"CT","postal_code":"066144860","country_code":"US","phone":"2035261959","fax":"2035490640"},{"purpose":"MAILING","street_1":"193 QUINNIPIAC ST APT 2","city":"WALLINGFORD","state":"CT","postal_code":"064923767","country_code":"US","phone":"2039081076","fax":"2035261959"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"008044044","state":"CT","issuer":null},{"type_code":"05","label":"Medicaid","value":"008126019","state":"CT","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-04-30","last_updated":"2024-12-17","_meta":{"source":"NPPES","snapshot_date":"2024-12-17","doc_url":"https://findmynpi.com/api"}}