Active NPI
Ouida Parks, LPC
- Mental Health Counselor
- Yazoo City, MS
National Provider Identifier
1417131996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250331000105 | MS | Practitioner - Mental Health Counselor | 8527581610 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Counseling Services, LLC | Current | Accepting new patients | |
| Warren Yazoo Mental Health Service | Past | Accepting new patients |
Locations
1435 Grand Ave
Yazoo City, MS 39194
Phone (662) 532-2399
Interoperability endpoints
- 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.
-
dba Ouida Parks
- Community/Behavioral Health Agency
- Yazoo City, MS
- NPI 1093326118
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Vicksburg, MS
- NPI 1023002920
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.