Active NPI
Dawn Lorraine Parks, CADAC II, LMHC
- Mental Health Counselor
- Middleboro, MA
National Provider Identifier
1285819722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6530
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106723 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1317AL | MA | MD | Addiction (Substance Use Disorder) Counselor |
| 6530 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychiatry, Inc. | Mental Health | Current | 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.
-
- Community/Behavioral Health Agency
- Norfolk, MA
- NPI 1659962728
-
- Clinical Social Worker
- Brockton, MA
- NPI 1689720302
-
- Mental Health Counselor
- Middleboro, MA
- NPI 1386039105
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.