Individual provider Active NPI

Chameka Konswela Parks

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1073178992
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7344 Issued in SC
Practice address
128 Millport Cir Ste 200
Greenville, SC 29607-5573
Phone
(864) 808-0218
Fax
(864) 568-7265
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 7344 SC Primary

Addresses

Primary practice location

128 Millport Cir Ste 200
Greenville, SC 29607-5573

Mailing address

1521 Laurens Rd Unit 7003
Greenville, SC 29606-1075
Phone (864) 808-0218

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

LicenseStateTypeSpecialty
7344SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Journey to Victory Counseling Services, LLC Mental Health CurrentSince Aug 1, 2021 Accepting new patients

Locations

535 W Butler Rd
#C
Greenville, SC 29607
Phone (864) 277-9867

1521 Laurens Rd
Unit 7003
Greenville, SC 29606

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1073178992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 LAURENS RD UNIT 7003",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296061075",
            "telephone_number": "864-808-0218",
            "fax_number": "864-568-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MILLPORT CIR STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075573",
            "telephone_number": "864-808-0218",
            "fax_number": "864-568-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "CHAMEKA",
        "middle_name": "KONSWELA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.