{
  "npi": "1518410109",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2025-06-10",
    "credential": "MA, LAC",
    "enumeration_date": "2016-07-29",
    "first_name": "MICHAEL",
    "last_name": "CASSIDY",
    "last_updated": "2025-06-10",
    "middle_name": "CHARLES",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1219 CENTRAL AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "GREAT FALLS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "406-403-0263",
      "postal_code": "594013777",
      "state": "MT",
      "telephone_number": "406-866-0350"
    },
    {
      "address_1": "330 THIRD AVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "VICTOR",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "406-363-3061",
      "postal_code": "598752357",
      "state": "MT",
      "telephone_number": "406-241-9849"
    }
  ],
  "taxonomies": [
    {
      "code": "101YA0400X",
      "desc": "Counselor, Addiction (Substance Use Disorder)",
      "license": "BBH-LAC-LIC-18797",
      "primary": true,
      "state": "MT",
      "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 Counselor, Addiction (Substance Use Disorder)",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}