NPIMap

Organization Active NPI

Kris Parker & Associates

  • Mental Health Counselor
  • Port St Lucie, FL
National Provider Identifier
1013325620
Registry record updated Jul 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11674 Issued in FL
Legal business name
KRIS PARKER & ASSOCIATES
Practice address
1950 SE Port St Lucie Blvd
Suite 205
Port St Lucie, FL 34952-5580
Phone
(772) 224-2125
Fax
(772) 224-2290
NPI assigned
Jul 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristine D Parker, LMHCNPI 1205272085
Title
Owner
Phone
(772) 224-2125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH11674 FL Primary

Addresses

Primary practice location

1950 SE Port St Lucie Blvd
Suite 205
Port St Lucie, FL 34952-5580

Mailing address

1950 SE Port St Lucie Blvd
Suite 205
Port St Lucie, FL 34952-5580
Phone (772) 224-2125

Other identifiers 1

IdentifierTypeStateIssuer
009285000MedicaidFL

National Provider Directory

National Provider Directory

Locations

1950 SE Port St Lucie Blvd
Ste 205
Port St Lucie, FL 34952
Phone (772) 224-2125

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406419200000",
    "number": "1013325620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SE PORT ST LUCIE BLVD",
            "address_2": "SUITE 205",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525580",
            "telephone_number": "772-224-2125",
            "fax_number": "772-224-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SE PORT ST LUCIE BLVD",
            "address_2": "SUITE 205",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525580",
            "telephone_number": "772-224-2125",
            "fax_number": "772-224-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS PARKER & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-27",
        "last_updated": "2014-07-27",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-224-2125",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009285000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.