{
  "npi": "1841448628",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MSW MA LMSW LMFT",
    "authorized_official_first_name": "JUAN",
    "authorized_official_last_name": "ARELLANO LOPEZ",
    "authorized_official_middle_name": "JOSE",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "5173494111",
    "authorized_official_title_or_position": "Psychotherapist & President of Corp",
    "enumeration_date": "2008-09-04",
    "last_updated": "2008-09-04",
    "organization_name": "A & A PSYCHOTHERAPY ASSOCIATES PC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 564",
      "address_2": "A & A PSYCHOTHERAPY ASSOCIATES PC",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "OKEMOS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "517-347-6999",
      "postal_code": "488050564",
      "state": "MI",
      "telephone_number": "517-349-4111"
    },
    {
      "address_1": "4211 OKEMOS ROAD",
      "address_2": "SUITE #1 A & A PSYCHOTHERAPY ASSOCIATES PC",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "OKEMOS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "517-347-6999",
      "postal_code": "488643287",
      "state": "MI",
      "telephone_number": "517-349-4111"
    }
  ],
  "taxonomies": [
    {
      "code": "106H00000X",
      "desc": "Marriage & Family Therapist",
      "license": "4101005356",
      "primary": false,
      "state": "MI",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "1041C0700X",
      "desc": "Social Worker, Clinical",
      "license": "6801016329",
      "primary": true,
      "state": "MI",
      "taxonomy_group": "193400000X - Multiple 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"
      }
    ]
  }
}