{
  "npi": "1295377653",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "CYNTHIA",
    "authorized_official_last_name": "CAMPBELL",
    "authorized_official_middle_name": "ANN",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_telephone_number": "9105566130",
    "authorized_official_title_or_position": "Executive Director",
    "enumeration_date": "2019-10-16",
    "last_updated": "2019-10-16",
    "organization_name": "CAMPBELL SECOND CHANCE RECOVERY CENTER",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "115 APPOMATTOX DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CAMERON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "283265536",
      "state": "NC",
      "telephone_number": "910-556-6130"
    },
    {
      "address_1": "601 TARBORO ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ROCKY MOUNT",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "278015955",
      "state": "NC",
      "telephone_number": "910-556-6130"
    }
  ],
  "taxonomies": [
    {
      "code": "174200000X",
      "desc": "Meals",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "177F00000X",
      "desc": "Lodging",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "251B00000X",
      "desc": "Case Management",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "251J00000X",
      "desc": "Nursing Care",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "251K00000X",
      "desc": "Public Health or Welfare",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "251V00000X",
      "desc": "Voluntary or Charitable",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QM0850X",
      "desc": "Clinic/Center, Adult Mental Health",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QM0855X",
      "desc": "Clinic/Center, Adolescent and Children Mental Health",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "322D00000X",
      "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "344600000X",
      "desc": "Taxi",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "344800000X",
      "desc": "Air Carrier",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "347B00000X",
      "desc": "Bus",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "347C00000X",
      "desc": "Private Vehicle",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "347D00000X",
      "desc": "Train",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "101YM0800X",
      "desc": "Counselor, Mental Health",
      "license": null,
      "primary": true,
      "state": null,
      "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 Behavioral Health & Social Service Providers — Counselor",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "E2",
        "medicare_type": "Mental Health Counselor"
      }
    ]
  }
}