Individual provider Active NPI

Rhea Parks, LMFT

  • Marriage & Family Therapist
  • Syracuse, NY
National Provider Identifier
1124580808
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001766 Issued in NY
Practice address
528 Oak St
Syracuse, NY 13203-1643
Phone
(315) 243-1083
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001766 NY Primary

Addresses

Primary practice location

528 Oak St
Syracuse, NY 13203-1643

Mailing address

PO Box 186
Syracuse, NY 13201-0186
Phone (315) 243-1083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240506000244 NY Practitioner - Marriage and Family Therapist 2961842133 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Resources, Inc. CurrentSince Apr 29, 2024 Accepting new patients
Mind, Body & Spirit Marriage and Family Therapy Marriage & Family Therapist CurrentSince Jun 28, 2020 Accepting new patients
Liberty Resources, Inc. CurrentSince Apr 29, 2024 Accepting new patients
Amani and Shalom Wellness Marriage & Family Therapist CurrentSince Jul 7, 2024 Accepting new patients
Liberty Resources Inc. Current Accepting new patients

Locations

1045 James St
Syracuse, NY 13203
Phone (315) 425-1004

Interoperability endpoints

  • Direct secure messaging: rhea.parks.p1@direct.liberty-resources.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1124580808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132010186",
            "telephone_number": "315-243-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 OAK ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031643",
            "telephone_number": "315-243-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "RHEA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.