Individual provider Active NPI

Rene K. Parker, M.A.,L.P.C.

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1053458356
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2004003792 Issued in MO
Practice address
9378 Olive Blvd
Suite 314
Saint Louis, MO 63132-3215
Phone
(314) 420-3580
Fax
(314) 567-8581
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2004003792 MO Primary

Addresses

Primary practice location

9378 Olive Blvd
Suite 314
Saint Louis, MO 63132-3215

Mailing address

9378 Olive Blvd
Suite 314
Saint Louis, MO 63132-3215
Phone (314) 420-3580

Other identifiers 1

IdentifierTypeStateIssuer
2004003792OtherMOLICENSE NO.

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2004003792MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Psychological & Family Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053458356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD",
            "address_2": "SUITE 314",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323215",
            "telephone_number": "314-420-3580",
            "fax_number": "314-567-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD",
            "address_2": "SUITE 314",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323215",
            "telephone_number": "314-420-3580",
            "fax_number": "314-567-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RENE",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "M.A.,L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2004003792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "2004003792",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.