Active NPI
Shelly Jane Parkman, LCAC, LPC
- Addiction (Substance Use Disorder) Counselor
- Anaconda, MT
National Provider Identifier
1003301888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 692
- Practice address
- 118 E 7TH St. Suite 1E
Anaconda, MT 59711 - Phone
- (406) 563-7863
- Fax
- (406) 563-2387
- NPI assigned
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 90 | OK | |
| Professional Counselor | 101YP2500X | 882 | KS | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 692 | KS | Primary |
Addresses
Primary practice location
118 E 7TH St. Suite 1E
Anaconda, MT 59711
Mailing address
118 E 7TH St. Suite 1E
Anaconda, MT 59711
Phone (406) 563-7863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 882 | KS | MD | Psychologist |
| 90 | OK | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie View Inc | Past | Accepting new patients | |
| Prairie View, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Newton, KS
- NPI 1578252904
-
- Psychiatry Physician
- Newton, KS
- NPI 1558426486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1003301888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 E 7TH ST. SUITE 1E",
"city": "ANACONDA",
"state": "MT",
"postal_code": "59711",
"telephone_number": "406-563-7863",
"fax_number": "406-563-2387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E 7TH ST. SUITE 1E",
"city": "ANACONDA",
"state": "MT",
"postal_code": "59711",
"telephone_number": "406-563-7863",
"fax_number": "406-563-2387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKMAN",
"first_name": "SHELLY",
"middle_name": "JANE",
"credential": "LCAC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "90",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "882",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaconda, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.