Active NPI
Shawn Peter Parmanand, LCPC
- Professional Counselor
- Pocatello, ID
National Provider Identifier
1376965509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-6743
- Practice address
- 1440 E Terry St
BLDG 63
Pocatello, ID 83209-8120 - Phone
- (208) 960-0452
- Fax
- (208) 282-2583
- NPI assigned
- Jan 7, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC3941 | ID | |
| Professional Counselor | 101YP2500X | LCPC-6743 | ID | Primary |
Addresses
Primary practice location
1440 E Terry St
BLDG 63
Pocatello, ID 83209-8120
Mailing address
1440 E Terry St
BLDG 63
Pocatello, ID 83209-8120
Phone (208) 960-0452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC-3914 | Other | ID | STATE OF IDAHO |
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 |
|---|---|---|---|
| LPC3941 | ID | MD | Mental Health Counselor |
| LCPC-6743 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1376965509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 E TERRY ST",
"address_2": "BLDG 63",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832098120",
"telephone_number": "208-960-0452",
"fax_number": "208-282-2583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 E TERRY ST",
"address_2": "BLDG 63",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832098120",
"telephone_number": "208-960-0452",
"fax_number": "208-282-2583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARMANAND",
"first_name": "SHAWN",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-07",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LPC3941",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-6743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF IDAHO",
"identifier": "LPC-3914",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.