Active NPI
Jan L Parker, LPCC
- Professional Counselor
- Nicholasville, KY
National Provider Identifier
1376694935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0427
- Practice address
- 109 Wind Haven Dr
Ste 100
Nicholasville, KY 40356-8010 - Phone
- (859) 224-2273
- Fax
- (859) 224-4675
- NPI assigned
- Jan 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0427 | KY | Primary |
Addresses
Primary practice location
109 Wind Haven Dr
Ste 100
Nicholasville, KY 40356-8010
Mailing address
109 Wind Haven Dr
Ste 100
Nicholasville, KY 40356-8010
Phone (859) 224-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30615058 | Medicaid | KY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0427 | KY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1376694935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 WIND HAVEN DR",
"address_2": "STE 100",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403568010",
"telephone_number": "859-224-2273",
"fax_number": "859-224-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 WIND HAVEN DR",
"address_2": "STE 100",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403568010",
"telephone_number": "859-224-2273",
"fax_number": "859-224-4675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JAN",
"middle_name": "L",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "0427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30615058",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nicholasville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.