Active NPI
Mary Parker, PH.D.
- Counseling Psychologist
- Tulsa, OK
National Provider Identifier
1295749893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 625
- Practice address
- 3223 E 31St St
Suite 201
Tulsa, OK 74105-2444 - Phone
- (918) 749-6935
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 625 | OK | Primary |
Addresses
Primary practice location
3223 E 31St St
Suite 201
Tulsa, OK 74105-2444
Mailing address
3223 E 31St St
Suite 201
Tulsa, OK 74105-2444
Phone (918) 749-6935
Other names 1
- Mary Llewellyn Parker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 625 | OK | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donna Vandall, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Tulsa, OK
- NPI 1124291513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1295749893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3223 E 31ST ST",
"address_2": "SUITE 201",
"city": "TULSA",
"state": "OK",
"postal_code": "741052444",
"telephone_number": "918-749-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3223 E 31ST ST",
"address_2": "SUITE 201",
"city": "TULSA",
"state": "OK",
"postal_code": "741052444",
"telephone_number": "918-749-6935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "MARY",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OK",
"license": "625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "PARKER",
"middle_name": "LLEWELLYN",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.