Shirley Parker, ED.S.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

7152 Issued in NC

Practice address

2224 S Croatan Hwy Unit D
Nags Head, NC 27959-8813

Phone

(252) 207-3837

NPI assigned

Apr 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Outer Banks Inner Journey

  • Mental Health Counselor
  • Nags Head, NC
  • NPI 1437718822
  NPD (past) Authorized official

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1104143882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1561",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279481561",
            "telephone_number": "252-207-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 S CROATAN HWY UNIT D",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598813",
            "telephone_number": "252-207-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SHIRLEY",
        "name_prefix": "Ms.",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "7152",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Outer Banks Medical Services Inc
• Outer Banks Professional Services, LLC
• Outer Banks Professional Services, LLC
• Outer Banks Psychological Services PLLC
• Kim Chung Pang, MD
• Peak Resources - Outer Banks, Inc
• Pediatrics Plus
• Cheri Bradshaw Peele, LPC, LCAS
• Port Health Services
• Andria Pozzo, PTA

• Counselor in Nags Head, NC
• Providers in Nags Head, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.