{
  "npi": "1619335916",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-08-16",
    "credential": "LADC",
    "enumeration_date": "2016-02-02",
    "first_name": "JOHAN",
    "last_name": "GREEN",
    "last_updated": "2024-08-16",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1135 FALLS BRIDGE RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WILLIAMSTOWN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "056794438",
      "state": "VT",
      "telephone_number": "603-593-2444"
    },
    {
      "address_1": "1135 FALLS BRIDGE RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WILLIAMSTOWN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "056794438",
      "state": "VT",
      "telephone_number": "603-593-2444"
    }
  ],
  "taxonomies": [
    {
      "code": "101YA0400X",
      "desc": "Counselor, Addiction (Substance Use Disorder)",
      "license": "18658",
      "primary": true,
      "state": "MA",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "JOHAN GREEN",
          "npi": "1619335916",
          "specialty": "COUNSELOR",
          "city": "WILLIAMSTOWN",
          "state": "VT",
          "excl_type": "1128a1",
          "excl_date": "2026-01-20",
          "statute_desc": "Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min)"
        }
      ],
      "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": []
  }
}