Individual provider Active NPI

Maryjo Vera Parsley, PROVISIONAL LPC

  • Professional Counselor
  • Charles Town, WV
National Provider Identifier
1124727284
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
805 Issued in WV
Practice address
201 N George St Ste 200
Charles Town, WV 25414-1574
Phone
(681) 252-1632
Fax
(304) 553-7438
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 805 WV Primary

Addresses

Primary practice location

201 N George St Ste 200
Charles Town, WV 25414-1574

Mailing address

2412 Cobblestone Way
Frederick, MD 21702-2626
Phone (301) 606-3979

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
805WVMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1124727284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 COBBLESTONE WAY",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217022626",
            "telephone_number": "301-606-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N GEORGE ST STE 200",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141574",
            "telephone_number": "681-252-1632",
            "fax_number": "304-553-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSLEY",
        "first_name": "MARYJO",
        "middle_name": "VERA",
        "credential": "PROVISIONAL LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles Town, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.