Individual provider Active NPI

Steven Van Parker, LPC, HI, DS

  • Mental Health Counselor
  • Twin Falls, ID
National Provider Identifier
1336536937
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6421 Issued in ID
Practice address
264 Main Ave S
Twin Falls, ID 83301-6232
Phone
(208) 734-0407
NPI assigned
Apr 21, 2015
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X 6421 ID Primary

Addresses

Primary practice location

264 Main Ave S
Twin Falls, ID 83301-6232

Mailing address

264 Main Ave S
Twin Falls, ID 83301-6232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240418004349 ID Practitioner - Mental Health Counselor 4880033158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6421IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crosspointe Mental Health, LLC Mental Health CurrentSince Apr 15, 2024 Accepting new patients

Locations

1363 Fillmore St
Twin Falls, ID 83301
Phone (208) 736-7090

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1336536937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 MAIN AVE S",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 MAIN AVE S",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016232",
            "telephone_number": "208-734-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "STEVEN",
        "middle_name": "VAN",
        "name_prefix": "Mr.",
        "credential": "LPC, HI, DS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "6421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.