Organization Active NPI

Parker Clinical Services PLLC

  • Mental Health Counselor
  • Cornelius, NC
National Provider Identifier
1417603176
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PARKER CLINICAL SERVICES PLLC
Practice address
17015 Kenton Dr Ste 203
Cornelius, NC 28031-5561
Phone
(704) 380-0879
Fax
(704) 659-4153
NPI assigned
Feb 22, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Laura Lee ParkerNPI 1225409451
Title
Owner
Phone
(919) 709-1511

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

17015 Kenton Dr Ste 203
Cornelius, NC 28031-5561

Mailing address

17015 Kenton Dr Ste 203
Cornelius, NC 28031-5561

National Provider Directory

National Provider Directory

Locations

17015 Kenton Dr
Ste 203
Cornelius, NC 28031
Phone (704) 380-0879

17105 Kenton Dr
Ste 207C
Cornelius, NC 28031
Phone (704) 534-4283

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": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1417603176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17015 KENTON DR STE 203",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17015 KENTON DR STE 203",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315561",
            "telephone_number": "704-380-0879",
            "fax_number": "704-659-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER CLINICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "LAURA LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-709-1511"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.