Individual provider Active NPI

Cecilia Marietta Parker, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pikesville, MD
National Provider Identifier
1255807160
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R183414 Issued in MD
Practice address
4727 Old Court Rd
Pikesville, MD 21208-2347
Phone
(667) 877-5972
Fax
(443) 781-7692
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R183414 MD Primary

Addresses

Primary practice location

4727 Old Court Rd
Pikesville, MD 21208-2347

Mailing address

12501 Timber Grove Rd
Reisterstown, MD 21136-1819
Phone (667) 877-5972

Other identifiers 1

IdentifierTypeStateIssuer
MDH0283998MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181228001170 MD Practitioner - Nurse Practitioner 6406191113 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4727 Old Court Rd
Pikesville, MD 21208-2347
Phone (667) 877-5972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R183414MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JCR Mental Health Services LLC Current Accepting new patients
Aspire Wellness Center, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Divine Counseling LLC CurrentSince Jul 26, 2024 Accepting new patients
JCR Mental Health Services LLC Psychiatric/Mental Health CurrentSince Aug 20, 2025 Accepting new patients
Divine Counseling LLC CurrentSince Aug 4, 2024 Accepting new patients

Locations

5022 Campbell Blvd
Ste L
Nottingham, MD 21236
Phone (443) 442-1568

5022 Campbell Blvd
Ste Lm
Nottingham, MD 21236
Phone (443) 442-1568

90 Painters Mill Rd
Ste 135136
Owings Mills, MD 21117
Phone (443) 955-2662

4727 Old Court Rd
Pikesville, MD 21208
Phone (443) 421-5081

1829 Reisterstown Rd
Ste 350
Pikesville, MD 21208
Phone (443) 226-1676

Interoperability endpoints

  • Direct secure messaging: cecilia.parker.p1@direct.bmsi.nextgenshare.com

Organizations & group practices 6

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1255807160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 TIMBER GROVE RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361819",
            "telephone_number": "667-877-5972",
            "fax_number": "443-781-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 OLD COURT RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082347",
            "telephone_number": "667-877-5972",
            "fax_number": "443-781-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CECILIA",
        "middle_name": "MARIETTA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R183414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDH0283998",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.