Kelly Ann Parise

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178012952 Issued in IL

Practice address

125 S Virginia St
Crystal Lake, IL 60014-5845

Phone

(847) 772-0046

NPI assigned

Feb 15, 2019

Last updated

Feb 15, 2019By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1215493176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PARKVIEW CT",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123540",
            "telephone_number": "847-772-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S VIRGINIA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145845",
            "telephone_number": "847-772-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISE",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178012952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ubaidur R Papa, M.D.
• Sherri L Paprocki
• Charlotte Joy Parcels, LCSW
• Dhruvi Parikh, DMD
• Mahesh N Parikh, M.D.
• Elisa Park
• Amber Freidalee Parker
• Kimberly A Parks, LPC
• Mackenzie L Parry, RBT-17-31537
• Donalda Pasho

• Counselor in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.