Active NPI
Nellie Rena Parker, BEHAVIOR SHAPING SPE
- Specialist
- Pineville, LA
National Provider Identifier
1174663892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 7520
- Practice address
- 242 W. Shamrock Street
Pineville, LA 71360 - Phone
- (318) 484-6850
- Fax
- (318) 484-6232
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7520 | LA | |
| Specialist | 174400000X | 7520 | LA | Primary |
Addresses
Primary practice location
242 W. Shamrock Street
Pineville, LA 71360
Mailing address
2811 Sabine Dr
Alexandria, LA 71303-4321
Phone (318) 445-1874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7520 | Other | LA | BEHAVIOR SHAPING SPECIALI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7520 | LA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1174663892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 SABINE DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713034321",
"telephone_number": "318-445-1874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 W. SHAMROCK STREET",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "71360",
"telephone_number": "318-484-6850",
"fax_number": "318-484-6232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "NELLIE",
"middle_name": "RENA",
"name_prefix": "Miss",
"credential": "BEHAVIOR SHAPING SPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "7520",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "7520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR SHAPING SPECIALI",
"identifier": "7520",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.