{
  "npi": "1720622103",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "LMSW,  CAC-AD",
    "authorized_official_first_name": "MARK",
    "authorized_official_last_name": "BERNARD",
    "authorized_official_middle_name": "A",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_telephone_number": "4435704837",
    "authorized_official_title_or_position": "Manager",
    "enumeration_date": "2019-10-29",
    "last_updated": "2019-10-29",
    "organization_name": "ACHIEVING WELLNESS CENTER LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2513 THORNBERRY DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "EDGEWOOD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "210402829",
      "state": "MD",
      "telephone_number": "443-570-4837"
    },
    {
      "address_1": "4307 W FOREST PARK AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BALTIMORE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "212077451",
      "state": "MD",
      "telephone_number": "443-570-4837"
    }
  ],
  "taxonomies": [
    {
      "code": "251S00000X",
      "desc": "Community/Behavioral Health",
      "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 & Credentialed Community/Behavioral Health",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}