{
  "npi": "1619508009",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2025-09-03",
    "credential": "LCAC",
    "enumeration_date": "2020-02-04",
    "first_name": "VICTORIA",
    "last_name": "BLINK",
    "last_updated": "2025-09-03",
    "middle_name": "MARIE",
    "name_prefix": "Mrs.",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "17272 DONALD CT",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LOWELL",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "463564621",
      "state": "IN",
      "telephone_number": "219-798-3361"
    },
    {
      "address_1": "675 JUSTICE WAY RM C0049",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "INDIANAPOLIS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "462031574",
      "state": "IN",
      "telephone_number": "219-798-3361"
    }
  ],
  "taxonomies": [
    {
      "code": "101YA0400X",
      "desc": "Counselor, Addiction (Substance Use Disorder)",
      "license": "87900022A",
      "primary": true,
      "state": "IN",
      "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": []
  }
}