{
  "npi": "1841990686",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "PMHNP-BC",
    "authorized_official_first_name": "KEEGAN",
    "authorized_official_last_name": "CROCKER",
    "authorized_official_telephone_number": "3179921988",
    "authorized_official_title_or_position": "Owner",
    "certification_date": "2024-07-25",
    "enumeration_date": "2023-03-09",
    "last_updated": "2024-07-25",
    "organization_name": "ADJUST MENTAL HEALTH, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "10100 LANTERN RD STE 250",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FISHERS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "460379408",
      "state": "IN",
      "telephone_number": "317-992-1988"
    },
    {
      "address_1": "10100 LANTERN RD STE 250",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "FISHERS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "460379408",
      "state": "IN",
      "telephone_number": "317-992-1988"
    }
  ],
  "taxonomies": [
    {
      "code": "101YM0800X",
      "desc": "Counselor, Mental Health",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363LP0808X",
      "desc": "Nurse Practitioner, Psych/Mental Health",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-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 Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}