Kelly Parker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

53944 Issued in TX

Practice address

9494 Humble Westfield Rd Apt 2832
Humble, TX 77338-5293

Phone

(318) 623-0762

NPI assigned

Jan 21, 2017

Last updated

Dec 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clearhope Counseling and Wellness Center, PC

  dba Clearhope Counseling and Wellness

  • Counselor
  • Pasadena, TX
  • NPI 1821587452

  Clinical

  Medicare reassignment NPD
• Rsmith-Counseling, PLLC

  • Professional Counselor
  • Houston, TX
  • NPI 1134606981

  Clinical

  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  TX

  Medicare reassignment NPD
• Life Enhancement Services of Texas LLC

  • Case Management Agency
  • Houston, TX
  • NPI 1972138808
  Medicare reassignment
• On Site Counseling,Inc.

  • Clinical Social Worker
  • Houston, TX
  • NPI 1720353048
  NPD

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

{
    "created_epoch": "1484956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1235676834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9494 HUMBLE WESTFIELD RD APT 2832",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385293",
            "telephone_number": "318-623-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9494 HUMBLE WESTFIELD RD APT 2832",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385293",
            "telephone_number": "318-623-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KELLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-21",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "53944",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danish Pardhan, MD
• Parendra P Banker MD PA
• Harish K Pariani, M.D.
• Amy Munroe Parker, O.D.
• Jaelynne Parker
• Mickael Parks
• Falak Naz Pasha, MD
• Pasrija Dental PLLC (Atascocita Family Smiles)
• Romil Pasrija, DMD
• Passport Health Holdings, LLC

• Clinical Social Worker in Humble, TX
• Providers in Humble, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.