Outer Banks Inner Journey

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

OUTER BANKS INNER JOURNEY

Practice address

2224 S Croatan Hwy Unit D
Nags Head, NC 27959-8813

Phone

(252) 207-3837

Fax

(252) 255-0787

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Shirley Faye Parker, LPCNPI 1104143882

Title

Counselor/Manager

Phone

(252) 207-3837

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirley Parker, ED.S.

  • Counselor
  • Nags Head, NC
  • NPI 1104143882
  NPD (past) Authorized official
• Judy Ann Demooy, MSW, LCSW

  • Clinical Social Worker
  • Nags Head, NC
  • NPI 1487751830
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1437718822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 CAPTAINS LN",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279489462",
            "telephone_number": "252-207-3837",
            "fax_number": "252-255-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 S CROATAN HWY UNIT D",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598813",
            "telephone_number": "252-207-3837",
            "fax_number": "252-255-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTER BANKS INNER JOURNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "COUNSELOR/MANAGER",
        "authorized_official_telephone_number": "252-207-3837",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Outer Banks Dermatology
• Outer Banks Family Medicine, PLLC
• Outer Banks Haven, Inc.
• Outer Banks Hematology Oncology PA
• Outer Banks Hospital
• Outer Banks Medical Services Inc
• Outer Banks Professional Services, LLC
• Outer Banks Professional Services, LLC
• Outer Banks Psychological Services PLLC
• Kim Chung Pang, MD

• Mental Health Counselor in Nags Head, NC
• Providers in Nags Head, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.