Organization Active NPI

Parents Zone, LLC

  • Clinical Psychologist
  • Lansing, MI
National Provider Identifier
1396363933
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PARENTS ZONE, LLC
Practice address
4710 W Saginaw Highway
Suite 9
Lansing, MI 48917
Phone
(502) 276-5096
NPI assigned
Jul 9, 2020
Last updated
Jun 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Darlene Marie Davis Goodwine, LP, LCADC, CAADCNPI 1649576612
Title
Clinical Psychologits
Phone
(022) 765-0965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary
Intellectual & Developmental Disabilities Psychologist 103TM1800X
Group Psychotherapy Psychologist 103TP2701X
Community Health Worker 172V00000X
Case Manager/Care Coordinator 171M00000X
Health Educator 174H00000X
Health & Wellness Coach 171400000X

Addresses

Primary practice location

4710 W Saginaw Highway
Suite 9
Lansing, MI 48917

Mailing address

1030 Burlington LN Ste 5
Frankfort, KY 40601-8444
Phone (502) 276-5096

Other practice location 1

1030 Burlington Ln Ste 5
Frankfort, KY 40601-8444
Phone (502) 276-5096

National Provider Directory

National Provider Directory

Locations

4710 W Saginaw Hwy
Ste 7
Lansing, MI 48917
Phone (517) 615-8312

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1396363933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BURLINGTON LN STE 5",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406018444",
            "telephone_number": "502-276-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 W SAGINAW HIGHWAY",
            "address_2": "SUITE 9",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48917",
            "telephone_number": "502-276-5096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Burlington Ln Ste 5",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406018444",
            "country_code": "US",
            "telephone_number": "502-276-5096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARENTS ZONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS GOODWINE",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGITS",
        "authorized_official_telephone_number": "022-765-0965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LP, LCADC, CAADC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.