Individual provider Active NPI

Byron Toliver Parks, L.C.S.W., L.A.D.C

  • Mental Health Counselor
  • Reno, NV
National Provider Identifier
1104937366
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
01821-C Issued in NV
Practice address
3710 Grant Dr
Ste K
Reno, NV 89509-5309
Phone
(775) 323-7799
Fax
(775) 323-0490
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 01821-C NV Primary

Addresses

Primary practice location

3710 Grant Dr
Ste K
Reno, NV 89509-5309

Mailing address

3710 Grant Dr Ste K
Reno, NV 89509-5309
Phone (775) 323-7799

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104937366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 GRANT DR STE K",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095309",
            "telephone_number": "775-323-7799",
            "fax_number": "775-323-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 GRANT DR",
            "address_2": "STE K",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095309",
            "telephone_number": "775-323-7799",
            "fax_number": "775-323-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "BYRON",
        "middle_name": "TOLIVER",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W., L.A.D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "01821-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.