{
  "npi": "1144354531",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "PAUL",
    "authorized_official_last_name": "LINDEMAN",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6123267566",
    "authorized_official_title_or_position": "Director - Revenue Cycle Mgmt",
    "enumeration_date": "2007-03-15",
    "last_updated": "2008-09-15",
    "organization_name": "AVALON PROGRAMS, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "550 MAIN ST",
      "address_2": "STE 230",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "NEW BRIGHTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "651-631-3221",
      "postal_code": "551123271",
      "state": "MN",
      "telephone_number": "612-326-7600"
    },
    {
      "address_1": "3 3RD STREET NE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "AITKIN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "218-927-6723",
      "postal_code": "56431",
      "state": "MN",
      "telephone_number": "218-927-6417"
    }
  ],
  "taxonomies": [
    {
      "code": "324500000X",
      "desc": "Substance Abuse Rehabilitation Facility",
      "license": "1034492-2-CDT",
      "primary": false,
      "state": "MN",
      "taxonomy_group": ""
    },
    {
      "code": "101YA0400X",
      "desc": "Counselor, Addiction (Substance Use Disorder)",
      "license": "1034492",
      "primary": true,
      "state": "MN",
      "taxonomy_group": "193200000X - Multi-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": []
  }
}