Legacy Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEGACY COUNSELING SERVICES, LLC

Practice address

1435 Grand Ave
Yazoo City, MS 39194-2651

Phone

(662) 532-2399

NPI assigned

Aug 12, 2020

Last updated

Sep 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ouida Parks, DPC, LPC, NCCNPI 1417131996

Title

Licensed Professional Counselor

Phone

(662) 532-2399

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ouida Parks Other name

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ouida Parks, LPC

  • Mental Health Counselor
  • Yazoo City, MS
  • NPI 1417131996
  NPD Authorized official

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1093326118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 861",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391940861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 GRAND AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391942651",
            "telephone_number": "662-532-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "OUIDA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "662-532-2399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPC, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09958268",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ouidaparks@gmail.com",
            "affiliation": "N",
            "endpointDescription": "ouidaparks@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1435 Grand Ave",
            "city": "Yazoo City",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391942651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ouida Parks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ouida Parks",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Yazoo City, MS
• Providers in Yazoo City, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.