Individual provider Active NPI

Felicia Michelle Parham, LCPC

  • Professional Counselor
  • Rockford, IL
National Provider Identifier
1235842345
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180014782 Issued in IL
Practice address
1526 N Horsman St
Rockford, IL 61101-4239
Phone
(815) 222-8291
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180014782 IL Primary

Addresses

Primary practice location

1526 N Horsman St
Rockford, IL 61101-4239

Mailing address

1526 N Horsman St
Rockford, IL 61101-4239
Phone (815) 222-8291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20260504007250 IL Practitioner - Mental Health Counselor 1355819822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5844 Elaine Dr
Suite 103
Rockford, IL 61108-2494

6072 Brynwood Dr
Suite 201
Rockford, IL 61114-5829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180014782ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kalm Oasis Therapy LLC Professional Current Accepting new patients
Finding My Purpose Therapy Services Current Accepting new patients
Hope - Child and Family Counseling Inc Professional Past Accepting new patients

Locations

6072 Brynwood Dr
Ste 201
Rockford, IL 61114
Phone (779) 363-4390

Interoperability endpoints

  • Direct secure messaging: felicia.parham.1@13826.direct.athenahealth.com

Organizations & group practices 3

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": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1235842345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 N HORSMAN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611014239",
            "telephone_number": "815-222-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 N HORSMAN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611014239",
            "telephone_number": "815-222-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "FELICIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.