{
  "npi": "1982410908",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "edd, lmft",
    "authorized_official_first_name": "KIMBERLY",
    "authorized_official_last_name": "JONES",
    "authorized_official_middle_name": "M",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_telephone_number": "5594220394",
    "authorized_official_title_or_position": "owner",
    "certification_date": "2025-01-17",
    "enumeration_date": "2024-12-04",
    "last_updated": "2025-01-17",
    "organization_name": "COURAGEOUS HEARTS COUNSELING CENTER LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2547 W SHAW AVE STE 114",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FRESNO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "844-449-0753",
      "postal_code": "937113321",
      "state": "CA",
      "telephone_number": "559-422-0394"
    },
    {
      "address_1": "2718 W NEBRASKA AVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CARUTHERS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "844-449-0753",
      "postal_code": "936099505",
      "state": "CA",
      "telephone_number": "559-960-6994"
    }
  ],
  "taxonomies": [
    {
      "code": "101YM0800X",
      "desc": "Counselor, Mental Health",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "106H00000X",
      "desc": "Marriage & Family Therapist",
      "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 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"
      }
    ]
  }
}