{
  "npi": "1508325739",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "PATRICIA",
    "authorized_official_last_name": "JOHNSON",
    "authorized_official_telephone_number": "8036370063",
    "authorized_official_title_or_position": "CEO",
    "enumeration_date": "2019-03-18",
    "last_updated": "2019-03-18",
    "organization_name": "CHANGING FACES INC.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "31 QUAIL RUN",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "EDGEFIELD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "803-637-0063",
      "postal_code": "298243147",
      "state": "SC",
      "telephone_number": "803-637-2323"
    },
    {
      "address_1": "31 QUAIL RUN",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "EDGEFIELD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "803-637-0063",
      "postal_code": "298243147",
      "state": "SC",
      "telephone_number": "803-637-2323"
    }
  ],
  "taxonomies": [
    {
      "code": "171M00000X",
      "desc": "Case Manager/Care Coordinator",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "172A00000X",
      "desc": "Driver",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "172V00000X",
      "desc": "Community Health Worker",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "174200000X",
      "desc": "Meals",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "175T00000X",
      "desc": "Peer Specialist",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "106S00000X",
      "desc": "Behavior Technician",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "251300000X",
      "desc": "Local Education Agency (LEA)",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "251B00000X",
      "desc": "Case Management",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "251C00000X",
      "desc": "Day Training, Developmentally Disabled Services",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "252Y00000X",
      "desc": "Early Intervention Provider Agency",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "253J00000X",
      "desc": "Foster Care Agency",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "253Z00000X",
      "desc": "In Home Supportive Care",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "343900000X",
      "desc": "Non-emergency Medical Transport (VAN)",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "385H00000X",
      "desc": "Respite Care",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "103K00000X",
      "desc": "Behavior Analyst",
      "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 Behavior Analyst",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}