Active NPI
Jennifer May Parr
- Mental Health Counselor
- Cloverdale, CA
National Provider Identifier
1083921803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 110 Marguerite LN
Cloverdale, CA 95425-4405 - Phone
- (707) 529-6629
- NPI assigned
- Sep 1, 2010
- Last updated
- Jul 30, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
110 Marguerite LN
Cloverdale, CA 95425-4405
Mailing address
900 5TH Ave
Suite 150
San Rafael, CA 94901-2959
Phone (707) 326-0667
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1083921803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 5TH AVE",
"address_2": "SUITE 150",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949012959",
"telephone_number": "707-326-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MARGUERITE LN",
"city": "CLOVERDALE",
"state": "CA",
"postal_code": "954254405",
"telephone_number": "707-529-6629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARR",
"first_name": "JENNIFER",
"middle_name": "MAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cloverdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.