Active NPI
Carol A. Parks, MBA, MS
- Counselor
- Fort Lauderdale, FL
National Provider Identifier
1366060253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 920 NW 7TH Ave
Fort Lauderdale, FL 33311-7229 - Phone
- (954) 993-5819
- NPI assigned
- Jul 8, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
920 NW 7TH Ave
Fort Lauderdale, FL 33311-7229
Mailing address
1851 NE 53Rd St
Fort Lauderdale, FL 33308-3130
Phone (954) 993-5819
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cparks@bphi.org | Direct |
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)
- Not enrolled
- Credentials
- Master of Business Administration, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broward Partnership for the Homeless, Inc. | Past | Accepting new patients | |
| Broward Partnerships | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Fort Lauderdale, FL
- NPI 1811238397
-
- Clinical Social Worker
- Fort Lauderdale, FL
- NPI 1770091555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1366060253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 NE 53RD ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333083130",
"telephone_number": "954-993-5819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 NW 7TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333117229",
"telephone_number": "954-993-5819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "CAROL",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "MBA, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cparks@bphi.org",
"affiliation": "N",
"endpointDescription": "BPHI e-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "920 NW 7th Ave",
"city": "Fort Lauderdale",
"state": "FL",
"country_code": "US",
"postal_code": "333117229",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.