Individual provider Active NPI

Christina Parker

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1184189763
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC-6071T Issued in AZ
Practice address
2345 S Alma School Rd Ste 105
Mesa, AZ 85210-4013
Phone
(480) 206-4753
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAC-6071T AZ Primary

Addresses

Primary practice location

2345 S Alma School Rd Ste 105
Mesa, AZ 85210-4013

Mailing address

2414 E Desert Broom PL
Chandler, AZ 85286-2335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20240528002259 AZ Practitioner - Mental Health Counselor 1355783903 Practice locations: Mesa, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2345 S Alma School Rd
Suite 105
Mesa, AZ 85210-4013
Phone (508) 233-3985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAC-6071TAZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Wind Therapy LLC Mental Health CurrentSince Feb 18, 2023 Accepting new patients

Locations

2345 S Alma School Rd
Ste 105
Mesa, AZ 85210
Phone (480) 206-4753

Organizations & group practices 1

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1184189763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 E DESERT BROOM PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 S ALMA SCHOOL RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104013",
            "telephone_number": "480-206-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-6071T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.