Active NPI
Tyshell A Parker
- Mental Health Counselor
- Tappahannock, VA
National Provider Identifier
1013747500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704016775
- Practice address
- 216 Oakland Rd
Tappahannock, VA 22560-5759 - Phone
- (240) 434-9538
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0709025753 | VA | |
| Mental Health Counselor | 101YM0800X | 0704016775 | VA | Primary |
Addresses
Primary practice location
216 Oakland Rd
Tappahannock, VA 22560-5759
Mailing address
216 Oakland Rd
Tappahannock, VA 22560-5759
Phone (240) 434-9538
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 |
|---|---|---|---|
| 0709025753 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0704016775 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1013747500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 OAKLAND RD",
"city": "TAPPAHANNOCK",
"state": "VA",
"postal_code": "225605759",
"telephone_number": "240-434-9538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 OAKLAND RD",
"city": "TAPPAHANNOCK",
"state": "VA",
"postal_code": "225605759",
"telephone_number": "240-434-9538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "TYSHELL",
"middle_name": "A",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0709025753",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704016775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tappahannock, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.