Shelly M Parks, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-23360 Issued in AZ

Practice address

112 W Gregory St
Pensacola, FL 32502-4820

Phone

(520) 392-0088

NPI assigned

Feb 21, 2025

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Life Solutions Counseling Services LLC

  • Professional Counselor
  • Pensacola, FL
  • NPI 1881486595
  NPD Authorized official
• Perception Counseling

  • Addiction (Substance Use Disorder) Psychologist
  • Tucson, AZ
  • NPI 1003315292

  Mental Health

  NPD (past)
• Perception Counseling

  • Counseling Psychologist
  • Tucson, AZ
  • NPI 1659870210
  NPD (past)

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1255137014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W GREGORY ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325024820",
            "telephone_number": "520-392-0088",
            "fax_number": "520-844-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W GREGORY ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325024820",
            "telephone_number": "520-392-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "SHELLY",
        "middle_name": "M",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "29283",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-23360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED MENTAL HEALTH COUNSELOR INTERN",
            "identifier": "29283",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Taylor Parker, RN
• Vonetta Parker, LMHC
• Wanda Parker
• Whitney Parker
• Kelli Lee Parks, OD
• Lisa M Parlagreco Lillo
• Kunal Parmar
• Richard T Parmley, MD
• Kynsleigh Parnell
• Lillian Parnell

• Mental Health Counselor in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.