Organization Active NPI

Reva Parker, RN, LCPC, P.C.

  • Marriage & Family Therapist
  • Bozeman, MT
National Provider Identifier
1063620243
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LCPC #365 Issued in MT
Legal business name
REVA PARKER, RN, LCPC, P.C.
Practice address
2050 Fairway Dr
#208
Bozeman, MT 59715-5871
Phone
(406) 586-3308
NPI assigned
May 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Reva ParkerNPI 1568633774
Title
Owner - President
Phone
(406) 586-3308

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X LCPC #365 MT Primary

Addresses

Primary practice location

2050 Fairway Dr
#208
Bozeman, MT 59715-5871

Mailing address

2050 Fairway Dr
#208
Bozeman, MT 59715-5871

National Provider Directory

National Provider Directory

Locations

2050 Fairway Dr
Ste 208
Bozeman, MT 59715
Phone (406) 581-9050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1063620243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 FAIRWAY DR",
            "address_2": "#208",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 FAIRWAY DR",
            "address_2": "#208",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155871",
            "telephone_number": "406-586-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVA PARKER, RN, LCPC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "REVA",
        "authorized_official_title_or_position": "OWNER - PRESIDENT",
        "authorized_official_telephone_number": "406-586-3308"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "LCPC #365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.