Active NPI
Susan Katherine Parker, LPC, LMFT
- Professional Counselor
- Plano, TX
National Provider Identifier
1003885195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 09965
- Practice address
- 2121 W Spring Creek Pkwy
Suite 114
Plano, TX 75023-4100 - Phone
- (972) 517-8138
- NPI assigned
- Mar 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 09965 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 01383 | TX |
Addresses
Primary practice location
2121 W Spring Creek Pkwy
Suite 114
Plano, TX 75023-4100
Mailing address
1700 California TRL
Plano, TX 75023-4314
Phone (972) 517-8138
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115428000 | Other | TX | MAGELLAN |
| 125820 | Medicaid | TX | |
| 00002775LC | Other | TX | BLUE CROSS& BLUE SHIELD |
| 4309701 | Other | TX | AETNA |
| 125820 | Other | TX | VALUE OPTIONS |
| LP0012305 | Medicaid | TX |
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 |
|---|---|---|---|
| 09965 | TX | MD | Professional Counselor |
| 01383 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1003885195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 CALIFORNIA TRL",
"city": "PLANO",
"state": "TX",
"postal_code": "750234314",
"telephone_number": "972-517-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 W SPRING CREEK PKWY",
"address_2": "SUITE 114",
"city": "PLANO",
"state": "TX",
"postal_code": "750234100",
"telephone_number": "972-517-8138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "SUSAN",
"middle_name": "KATHERINE",
"name_prefix": "Ms.",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "09965",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "01383",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "115428000",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125820",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS& BLUE SHIELD",
"identifier": "00002775LC",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4309701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "125820",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LP0012305",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.