Individual provider Active NPI

Christina Ann Parks, LPC-S

  • Mental Health Counselor
  • Broken Arrow, OK
National Provider Identifier
1154767572
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6034 Issued in OK
Practice address
840 S Aspen Ave Ste F
Broken Arrow, OK 74012-4803
Phone
(918) 200-9499
NPI assigned
May 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 6034 OK Primary

Addresses

Primary practice location

840 S Aspen Ave Ste F
Broken Arrow, OK 74012-4803

Mailing address

840 S Aspen Ave Ste F
Broken Arrow, OK 74012-4803
Phone (918) 200-9499

Other practice location 1

2035 W Houston St Ste A
Broken Arrow, OK 74012-8792
Phone (918) 505-4367 ext. 707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 21, 2024 through Aug 21, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1154767572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S ASPEN AVE STE F",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124803",
            "telephone_number": "918-200-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S ASPEN AVE STE F",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124803",
            "telephone_number": "918-200-9499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2035 W Houston St Ste A",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740128792",
            "country_code": "US",
            "telephone_number": "918-505-4367 x707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.