{
  "npi": "1568206191",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "CHANCE",
    "authorized_official_last_name": "LUNA",
    "authorized_official_middle_name": "WILLIAM",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_telephone_number": "9728060877",
    "authorized_official_title_or_position": "OWNER",
    "certification_date": "2024-06-19",
    "enumeration_date": "2024-06-19",
    "last_updated": "2024-06-19",
    "organization_name": "BEEN LIVING WELL",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "5954 BROADWAY BLVD # 105",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GARLAND",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "833-586-2467",
      "postal_code": "750435822",
      "state": "TX",
      "telephone_number": "972-806-0877"
    },
    {
      "address_1": "20320 STATE HIGHWAY 19",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CANTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "833-586-2467",
      "postal_code": "751035742",
      "state": "TX",
      "telephone_number": "972-806-0877"
    }
  ],
  "taxonomies": [
    {
      "code": "101YA0400X",
      "desc": "Counselor, Addiction (Substance Use Disorder)",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "171M00000X",
      "desc": "Case Manager/Care Coordinator",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "2083A0300X",
      "desc": "Preventive Medicine, Addiction Medicine",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "261QR0405X",
      "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
      "license": null,
      "primary": true,
      "state": null,
      "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 Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "D5",
        "medicare_type": "Opioid Treatment Program"
      }
    ]
  }
}