Active NPI
Daniel L Parrish
- Professional Counselor
- New Lenox, IL
National Provider Identifier
1013209501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180007748
- Practice address
- 500 Gougar Rd
New Lenox, IL 60451-1553 - Phone
- (708) 845-5500
- NPI assigned
- May 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180007748 | IL | Primary |
Addresses
Primary practice location
500 Gougar Rd
New Lenox, IL 60451-1553
Mailing address
15127 S 73Rd Ave
Suite G
Orland Park, IL 60462-4398
Phone (708) 845-5500
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 |
|---|---|---|---|
| 180007748 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Christian Counseling Center Inc | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Orland Park, IL
- NPI 1083664510
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1013209501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15127 S 73RD AVE",
"address_2": "SUITE G",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624398",
"telephone_number": "708-845-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GOUGAR RD",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604511553",
"telephone_number": "708-845-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRISH",
"first_name": "DANIEL",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-03",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180007748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.