{
  "npi": "1770724379",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "SUE",
    "authorized_official_last_name": "TURGEON",
    "authorized_official_name_prefix": "Ms.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "5612923126",
    "authorized_official_title_or_position": "Billing Service Owner",
    "enumeration_date": "2009-03-12",
    "last_updated": "2010-08-06",
    "organization_name": "A MINDFUL PATH, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1477 PARK STREET",
      "address_2": "SUITE 14",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "HARTFORD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "06106",
      "state": "CT",
      "telephone_number": "860-402-9333"
    },
    {
      "address_1": "1477 PARK STREET",
      "address_2": "SUITE 14",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "HARTFORD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "860-499-5477",
      "postal_code": "06106",
      "state": "CT",
      "telephone_number": "860-402-9333"
    }
  ],
  "taxonomies": [
    {
      "code": "1041C0700X",
      "desc": "Social Worker, Clinical",
      "license": "003729",
      "primary": true,
      "state": "CT",
      "taxonomy_group": "193400000X - Single Specialty 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 — Social Worker, Clinical",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "80",
        "medicare_type": "Licensed Clinical Social Worker"
      }
    ]
  }
}