Stephen James Parkes
Individual provider Active NPI Peer Specialist · Walhalla, ND
NPI 1386478014 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1386478014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- 356 (ND)
- Practice address
- 12272 106TH St NE
Walhalla, ND 58282-9519 - Phone
- (701) 521-5122
- NPI assigned
- Aug 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 356 | ND | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Libertas | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 356 | ND | Yes |
Addresses
Primary practice location
12272 106TH St NE
Walhalla, ND 58282-9519
Mailing address
12272 106TH St NE
Walhalla, ND 58282-9519
Phone (701) 521-5122
Other names
- Stephen Parkes
Other providers in Walhalla, ND
- Stephanie Lafferty
- Shanon S Lene
- Libertas
- Nudak Ventures North Dakota, LLC
- Karla Parkes
- Speech Wellness Services, LLC
- Walhalla Ambulance Service
- Walhalla Community Hospital Association
- Walhalla Community Hospital Association
All providers in Walhalla, ND · Peer Specialist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.