Organization Active NPI

Janice M. Parks, LMSW

  • Social Worker
  • Wichita, KS
National Provider Identifier
1285024190
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8614 Issued in KS
Legal business name
JANICE M. PARKS, LMSW
Practice address
5321 Shadowridge CT
Wichita, KS 67220-4260
Phone
(316) 204-9571
Fax
(316) 765-0105
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Janice M Parks, LMSWNPI 1902155765
Title
Provider/ Onwer
Phone
(316) 204-9571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 8614 KS Primary

Addresses

Primary practice location

5321 Shadowridge CT
Wichita, KS 67220-4260

Mailing address

5321 Shadowridge CT
Wichita, KS 67220-4260
Phone (316) 204-9571

Other identifiers 1

IdentifierTypeStateIssuer
8614OtherKSSTATE OF KANSAS BEHAVORIAL SCIENCES REGULATORY BOARD

Other names 1

  • Empowered to Live Counseling Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1285024190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 SHADOWRIDGE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672204260",
            "telephone_number": "316-204-9571",
            "fax_number": "316-765-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 SHADOWRIDGE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672204260",
            "telephone_number": "316-204-9571",
            "fax_number": "316-765-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE M. PARKS, LMSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER/ ONWER",
        "authorized_official_telephone_number": "316-204-9571",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF KANSAS BEHAVORIAL SCIENCES REGULATORY BOARD",
            "identifier": "8614",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empowered to Live Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.