Mackenzie B Parks, PMSW, PLMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11637 Issued in NE

Practice address

3549 Fontenelle Blvd
Omaha, NE 68104-3601

Phone

(402) 451-0787

NPI assigned

Sep 29, 2018

Last updated

Sep 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wildflower Collective LLC

  • Counselor
  • Omaha, NE
  • NPI 1043946627
  Medicare reassignment NPD
• Nebraska Children's Home Society Inc

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1487913786
  NPD (past)

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

{
    "created_epoch": "1538179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538179200000",
    "number": "1154806701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 S 118TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372213",
            "telephone_number": "402-451-0787",
            "fax_number": "402-898-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 FONTENELLE BLVD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043601",
            "telephone_number": "402-451-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "MACKENZIE",
        "middle_name": "B",
        "credential": "PMSW, PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-29",
        "last_updated": "2018-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Parks
• Jacqueline Parks, MS, PLMHP
• Jennifer Larae Parks
• Kendyl Parks
• Lauren Parks
• Mary Louise Parks, R.PH.
• Monica Renee Parks
• Sabrynah Parks
• Stephanie Lynne Parks
• Parkway OB-GYN PC

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.