{
  "npi": "1275662645",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "L.P.C.",
    "enumeration_date": "2007-03-03",
    "first_name": "MARK",
    "last_name": "YOUNG",
    "last_updated": "2012-06-15",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "713 COUNTY ROAD 2110",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "DAINGERFIELD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "903-285-6898",
      "postal_code": "756384409",
      "state": "TX",
      "telephone_number": "903-918-5073"
    },
    {
      "address_1": "650 CR 4650",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MT. PLEASANT",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "903-645-2532",
      "postal_code": "75455",
      "state": "TX",
      "telephone_number": "903-918-5073"
    }
  ],
  "taxonomies": [
    {
      "code": "101YP2500X",
      "desc": "Counselor, Professional",
      "license": "19201",
      "primary": true,
      "state": "TX",
      "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 Behavioral Health & Social Service Providers — Counselor",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "E2",
        "medicare_type": "Licensed Professional Counselor"
      }
    ]
  }
}