Carolyn Parker, M.A.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180013659 Issued in IL

Practice address

1113 S Milwaukee Ave
Suite 104
Libertyville, IL 60048-3758

Phone

(847) 367-5991

Fax

(847) 367-5997

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Family Resilience Group, LLC

  • Clinical Social Worker
  • Arlington Heights, IL
  • NPI 1316178387
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1235665274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 LOYOLA DR",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481276",
            "telephone_number": "847-680-6488",
            "fax_number": "847-367-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 S MILWAUKEE AVE",
            "address_2": "SUITE 104",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483758",
            "telephone_number": "847-367-5991",
            "fax_number": "847-367-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CAROLYN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178014752",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preyanshu M Parekh, DO
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• Park Avenue Dental Professionals, PC
• Park Rheumatology, LLC
• Danbee A Park, APN
• Emma Elizabeth Parker, BA
• James Everett Parkhill, DMD
• Kyle Wade Parmelee, MSW, LCSW
• Jon Pascua, M.D.
• Renee Selene Pasillas

• Professional Counselor in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.