{
  "npi": "1588464796",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2025-03-13",
    "credential": "MSEd",
    "enumeration_date": "2025-03-17",
    "first_name": "DILLAN",
    "last_name": "AVERY",
    "last_updated": "2025-03-17",
    "name_prefix": "Mrs.",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "111 CHISHOLM PL",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CHARLOTTESVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "229025467",
      "state": "VA",
      "telephone_number": "774-280-9379"
    },
    {
      "address_1": "100 SAUNDERS ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CULPEPER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "227013826",
      "state": "VA",
      "telephone_number": "508-738-7720"
    }
  ],
  "taxonomies": [
    {
      "code": "106S00000X",
      "desc": "Behavior Technician",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    }
  ],
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    "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 — Technician",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "62",
        "medicare_type": "Psychologist, Clinical"
      }
    ]
  }
}