Ronnell Daulynn Parker, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61002973 Issued in WA

Practice address

9407 NE Vancouver Mall Dr # 1041052
Vancouver, WA 98662-6191

Phone

(253) 906-3629

NPI assigned

Jan 11, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1134833429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16626 92ND AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752213",
            "telephone_number": "253-906-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9407 NE VANCOUVER MALL DR # 1041052",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626191",
            "telephone_number": "253-906-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RONNELL",
        "middle_name": "DAULYNN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61002973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ronnellp44@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9407 NE Vancouver Mall Dr # 1041052",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986626191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Parker
• Kimberly Anne Parker, MSW, LICSW
• Little Eagle Nathan Parker
• Lucia Phillips Parker, MSW
• Mary Alice Parker
• Savanna Parker, M.S., PSYD, LMHC
• Carrie S Parks, RC
• Kathleen Apibunyopas Parks, M.D.
• Sandy Parks, LMP
• Sarah Michele Parks, LMHC, SUDP

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.