Active NPI
Lisa Ann Parsons, LCSW
- Clinical Social Worker
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C9311
- Practice address
- 240B Courthouse Rd
Gulfport, MS 39507-1214 - Phone
- (228) 865-1330
- NPI assigned
- Dec 19, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4520 | KS | |
| Clinical Social Worker | 1041C0700X | C9311 | MS | Primary |
Addresses
Primary practice location
240B Courthouse Rd
Gulfport, MS 39507-1214
Mailing address
4013 Beatline Rd Ste a
Long Beach, MS 39560-4135
Phone (228) 700-0720
Other practice location 1
4011 Beatline Rd # 14C
Long Beach, MS 39560-4137
Phone (228) 200-0720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06833775 | Medicaid | MS |
Other names 1
- Lisa Ann Nelson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MS
- 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
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
240 Courthouse Rd
Suite B
Gulfport, MS 39507-1214
Phone (228) 343-3432
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4520 | KS | MD | Clinical Social Worker |
| C9311 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pawnee Mental Health Service, Inc. | Current | Accepting new patients | |
| Pawnee Mental Health Service, Inc. | Single Specialty | Current | Accepting new patients |
| Insights Christian Counseling | Clinical | Current | Accepting new patients |
| Safe Harbor Clinic LLC | Single Specialty | Current | Accepting new patients |
Locations
814 Caroline Ave
Junction City, KS 66441
Phone (785) 762-5250
2001 Claflin Rd
Manhattan, KS 66502
240B Courthouse Rd
Gulfport, MS 39507
Phone (228) 343-3432
240 Courthouse Rd
#B
Gulfport, MS 39507
Phone (228) 343-3432
4013 Beatline Rd
#A
Long Beach, MS 39560
Phone (228) 200-0720
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.
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1114633971
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manhattan, KS
- NPI 1275580524
Single Specialty
-
- Primary Care Clinic/Center
- Manhattan, KS
- NPI 1356139158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1356687396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4013 BEATLINE RD STE A",
"city": "LONG BEACH",
"state": "MS",
"postal_code": "395604135",
"telephone_number": "228-700-0720",
"fax_number": "228-200-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240B COURTHOUSE RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395071214",
"telephone_number": "228-865-1330"
}
],
"practiceLocations": [
{
"address_1": "4011 Beatline Rd # 14C",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "MS",
"postal_code": "395604137",
"country_code": "US",
"telephone_number": "228-200-0720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARSONS",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-19",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "4520",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C9311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06833775",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "NELSON",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.