Individual provider Active NPI

Ouida Parks, LPC

  • Mental Health Counselor
  • Yazoo City, MS
National Provider Identifier
1417131996
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1435 Grand Ave
Yazoo City, MS 39194-2651
Phone
(662) 532-2399
NPI assigned
Dec 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1435 Grand Ave
Yazoo City, MS 39194-2651

Mailing address

PO Box 861
Yazoo City, MS 39194-0861
Phone (662) 532-2399

Other practice location 1

2303 Gordon Ave
Yazoo City, MS 39194-2067
Phone (662) 746-5712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331000105 MS Practitioner - Mental Health Counselor 8527581610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Counseling Services, LLC CurrentSince Mar 10, 2025 Accepting new patients
Warren Yazoo Mental Health Service PastSince Aug 1, 2021 Accepting new patients

Locations

1435 Grand Ave
Yazoo City, MS 39194
Phone (662) 532-2399

Interoperability endpoints

  • Direct secure messaging: ouida.parks.1@31723.direct.athenahealth.com

Organizations & group practices 2

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": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1417131996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 861",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391940861",
            "telephone_number": "662-532-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 GRAND AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391942651",
            "telephone_number": "662-532-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2303 Gordon Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391942067",
            "country_code": "US",
            "telephone_number": "662-746-5712",
            "fax_number": "662-746-5723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "OUIDA",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yazoo City, MS

Sources for this page

Verify at the official NPI Registry.