Individual provider Active NPI

Melvin Lorenzo Parrish, MELVIN PARRISH

  • Addiction (Substance Use Disorder) Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1093068660
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2046 Issued in FL
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

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6964OtherFLLMHC
2046OtherFLCAP

Other names 1

  • Mr. Melvin Parrish Professional name

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
2046FLMDAddiction (Substance Use Disorder) Counselor
6964FLMDMental 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.

Verify at the official NPI Registry.