{
  "npi": "1033305685",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "PH.D.",
    "authorized_official_first_name": "ERIC",
    "authorized_official_last_name": "ANDERSON",
    "authorized_official_middle_name": "M",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7155398080",
    "authorized_official_title_or_position": "PSYCHOLOGIST",
    "enumeration_date": "2007-09-18",
    "last_updated": "2014-05-01",
    "organization_name": "ANDERSON & ASSOCIATES COUNSELING AND PSYCHOLOGIST SERVICES LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "712 E 2ND ST",
      "address_2": "PO BOX 551",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MERRILL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "715-539-8099",
      "postal_code": "544522419",
      "state": "WI",
      "telephone_number": "715-539-8080"
    },
    {
      "address_1": "712 E 2ND ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MERRILL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "715-539-8099",
      "postal_code": "544522419",
      "state": "WI",
      "telephone_number": "715-539-8080"
    }
  ],
  "taxonomies": [
    {
      "code": "251S00000X",
      "desc": "Community/Behavioral Health",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Community/Behavioral Health",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}