Individual provider Active NPI

Joshua Parker, LPN

  • Addiction (Substance Use Disorder) Counselor
  • Barboursville, WV
National Provider Identifier
1154958601
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2382-2905 Issued in WV
Practice address
3014 Champion Dr
Barboursville, WV 25504-9343
Phone
(740) 479-0067
Fax
(304) 900-3629
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 2382-2905 WV Primary

Addresses

Primary practice location

3014 Champion Dr
Barboursville, WV 25504-9343

Mailing address

2984 County Road 1
South Point, OH 45680-8832
Phone (740) 479-0067

Other identifiers 1

IdentifierTypeStateIssuer
2382-2905OtherWVBUSINESS LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL passageswv@gmail.com Health Information Exchange (HIE)

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
2382-2905WVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Passages LLC Single Specialty CurrentSince Jul 2, 2023 Accepting new patients
Joshua E Parker CurrentSince Sep 20, 2020 Accepting new patients

Locations

3014 Champion Dr
Barboursville, WV 25504
Phone (304) 972-6767

Organizations & group practices 2

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1154958601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2984 COUNTY ROAD 1",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808832",
            "telephone_number": "740-479-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 CHAMPION DR",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255049343",
            "telephone_number": "740-479-0067",
            "fax_number": "304-900-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JOSHUA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WV",
            "license": "2382-2905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE NUMBER",
            "identifier": "2382-2905",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "passageswv@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Secure server",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3014 Champion Dr",
            "city": "Barboursville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255049343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.