Active NPI
Amanda Sherri Parks, LAC
- Mental Health Counselor
- Scottsdale, AZ
National Provider Identifier
1386459584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAC-22496
- Practice address
- 6125 E Indian School Rd Ste 1005
Scottsdale, AZ 85251-5469 - Phone
- (480) 877-9284
- NPI assigned
- Feb 13, 2025
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC-22496 | AZ | Primary |
Addresses
Primary practice location
6125 E Indian School Rd Ste 1005
Scottsdale, AZ 85251-5469
Mailing address
7979 E Wilshire Dr Apt 2006
Scottsdale, AZ 85257-2368
Phone (336) 655-9735
Other names 1
- Amanda Sherri Parks
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 |
|---|---|---|---|
| LAC-22496 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolvedmd, Inc. | Current | Accepting new patients |
Locations
6125 E Indian School Rd
Ste 1005
Scottsdale, AZ 85251
Phone (480) 542-0123
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1386459584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7979 E WILSHIRE DR APT 2006",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852572368",
"telephone_number": "336-655-9735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6125 E INDIAN SCHOOL RD STE 1005",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852515469",
"telephone_number": "480-877-9284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "AMANDA",
"middle_name": "SHERRI",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-13",
"last_updated": "2025-02-13",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-22496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "PARKS",
"middle_name": "SHERRI",
"credential": "LAC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.