Active NPI
Melvin Lorenzo Parrish, MELVIN PARRISH
- Addiction (Substance Use Disorder) Counselor
- Fort Lauderdale, FL
National Provider Identifier
1093068660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2046
- Practice address
- 547 NW 9TH Ave
Fort Lauderdale, FL 33311-8113 - Phone
- (954) 462-4489
- NPI assigned
- Oct 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2046 | FL | Primary |
| Mental Health Counselor | 101YM0800X | 6964 | FL |
Addresses
Primary practice location
547 NW 9TH Ave
Fort Lauderdale, FL 33311-8113
Mailing address
3893 Sienna Greens Ter
Lauderhill, FL 33319-7302
Phone (954) 821-4333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6964 | Other | FL | LMHC |
| 2046 | Other | FL | CAP |
Other names 1
- Mr. Melvin Parrish
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2046 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| 6964 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1093068660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3893 SIENNA GREENS TER",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333197302",
"telephone_number": "954-821-4333",
"fax_number": "954-731-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "547 NW 9TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333118113",
"telephone_number": "954-462-4489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRISH",
"first_name": "MELVIN",
"middle_name": "LORENZO",
"name_prefix": "Mr.",
"credential": "MELVIN PARRISH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-19",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "2046",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "6964",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMHC",
"identifier": "6964",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAP",
"identifier": "2046",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELVIN",
"last_name": "PARRISH",
"prefix": "MR.",
"credential": "MELVIN PARRISH",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.