{
  "npi": "1629699533",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-04-13",
    "enumeration_date": "2020-05-01",
    "first_name": "MINERVA",
    "last_name": "ACOSTA",
    "last_updated": "2024-04-13",
    "middle_name": "GARCIA",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "460 KINGS COUNTY DR STE 101",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "HANFORD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "932305953",
      "state": "CA",
      "telephone_number": "559-852-2412"
    },
    {
      "address_1": "530 KINGS COUNTY DR # 104106",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "HANFORD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "932303579",
      "state": "CA",
      "telephone_number": "559-368-5187"
    }
  ],
  "taxonomies": [
    {
      "code": "167G00000X",
      "desc": "Licensed Psychiatric Technician",
      "license": "34272",
      "primary": false,
      "state": "CA",
      "taxonomy_group": ""
    },
    {
      "code": "106H00000X",
      "desc": "Marriage & Family Therapist",
      "license": "139391",
      "primary": true,
      "state": "CA",
      "taxonomy_group": ""
    },
    {
      "code": "390200000X",
      "desc": "Student in an Organized Health Care Education/Training Program",
      "license": null,
      "primary": false,
      "state": "CA",
      "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 Behavioral Health & Social Service Providers — Marriage and Family Therapist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "E1",
        "medicare_type": "Marriage and Family Therapist"
      }
    ]
  }
}