Andrew Eric Parks, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6025 Issued in TN

Practice address

3069 S. Broad St.
Suite #9
Chattanooga, TN 37408

Phone

(423) 567-8769

NPI assigned

May 9, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1023708591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3879 AZALEAN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153705",
            "telephone_number": "502-380-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 S. BROAD ST.",
            "address_2": "SUITE #9",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37408",
            "telephone_number": "423-567-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "ANDREW",
        "middle_name": "ERIC",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parkridge Medical Center, Inc.
• Parkridge Medical Center, Inc.
• Parkridge Medical Center, Inc.
• Parkridge Medical Center, Inc.
• Parkridge Professionals, Inc
• Dennis G Parks, M.DIV.
• Glenda Faye Parks, GLENDA PARKS
• Glenda Gayle Parks, RN,MSN,IBCLC
• Matthew Tyler Parks
• Ramona R. Parks

• Professional Counselor in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.