Individual provider Active NPI

Dawn Lorraine Parks, CADAC II, LMHC

  • Mental Health Counselor
  • Middleboro, MA
National Provider Identifier
1285819722
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6530 Issued in MA
Practice address
165 E Grove St
Suite B
Middleboro, MA 02346-2737
Phone
(800) 273-6277
Fax
(888) 978-4883
NPI assigned
Jan 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1317AL MA
Mental Health Counselor 101YM0800X 6530 MA Primary

Addresses

Primary practice location

165 E Grove St
Suite B
Middleboro, MA 02346-2737

Mailing address

165 E Grove St
Suite B
Middleboro, MA 02346-2737
Phone (800) 273-6277

Other identifiers 1

IdentifierTypeStateIssuer
106723MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240322001416 MA Practitioner - Mental Health Counselor 2163869405 Reassigns benefits to 1 organization
I20250108002243 RI Practitioner - Mental Health Counselor 2163869405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Psychiatry, Inc.Group PAC ID 5294173464, 90 clinicians

Practice addresses (Care Compare)

7 Austin Ave
Greenville, RI 02828-1520
Phone (401) 349-3131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1317ALMAMDAddiction (Substance Use Disorder) Counselor
6530MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychiatry, Inc. Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Phoenix Behavioral Health LLC Current Accepting new patients
Psyched Group, LLC Mental Health Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

7 Austin Ave
Greenville, RI 02828
Phone (401) 231-9324

1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830

Organizations & group practices 4

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": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1285819722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E GROVE ST",
            "address_2": "SUITE B",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462737",
            "telephone_number": "800-273-6277",
            "fax_number": "888-978-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E GROVE ST",
            "address_2": "SUITE B",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462737",
            "telephone_number": "800-273-6277",
            "fax_number": "888-978-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "DAWN",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "CADAC II, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "1317AL",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106723",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleboro, MA

Sources for this page

Verify at the official NPI Registry.