{
  "npi": "1407776123",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "LMT, MLD-C",
    "authorized_official_first_name": "SHANNON",
    "authorized_official_last_name": "WICK",
    "authorized_official_telephone_number": "2818583893",
    "authorized_official_title_or_position": "Owner/ Member",
    "certification_date": "2026-07-21",
    "enumeration_date": "2026-07-21",
    "last_updated": "2026-07-21",
    "organization_name": "BENI MASSAGE & WELLNESS LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "5200 ANDORRA BEND LN",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PORTER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "773657072",
      "state": "TX",
      "telephone_number": "281-851-7893"
    },
    {
      "address_1": "808 RUSSELL PALMER RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "KINGWOOD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "773391689",
      "state": "TX",
      "telephone_number": "281-858-3893"
    }
  ],
  "taxonomies": [
    {
      "code": "225700000X",
      "desc": "Massage Therapist",
      "license": null,
      "primary": true,
      "state": null,
      "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 Massage Therapist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}