{
  "npi": "1033793419",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2021-05-11",
    "credential": "LACC",
    "enumeration_date": "2021-05-11",
    "first_name": "VALERIE",
    "last_name": "ALLEN",
    "last_updated": "2021-05-11",
    "middle_name": "JANE",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "112 TWO MILE BRIDGE RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ROBERTS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "590709410",
      "state": "MT",
      "telephone_number": "406-850-0081"
    },
    {
      "address_1": "111 N BROADWAY AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "RED LODGE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "406-646-3020",
      "postal_code": "590689031",
      "state": "MT",
      "telephone_number": "406-446-0337"
    }
  ],
  "taxonomies": [
    {
      "code": "101YA0400X",
      "desc": "Counselor, Addiction (Substance Use Disorder)",
      "license": "41855",
      "primary": true,
      "state": "MT",
      "taxonomy_group": "193400000X - Single Specialty 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 Counselor, Addiction (Substance Use Disorder)",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}