Active NPI
Carol Jean Parker, LMHC
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1487718557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 001407
- Practice address
- 4100 W Kennedy Blvd
Suite 214
Tampa, FL 33609-2288 - Phone
- (813) 207-0022
- Fax
- (813) 207-0022
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | MH 001407 | FL | Primary |
Addresses
Primary practice location
4100 W Kennedy Blvd
Suite 214
Tampa, FL 33609-2288
Mailing address
4100 W Kennedy Blvd
Suite 214
Tampa, FL 33609-2288
Phone (813) 207-0022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z2014 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 001407 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487718557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 W KENNEDY BLVD",
"address_2": "SUITE 214",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092288",
"telephone_number": "813-207-0022",
"fax_number": "813-207-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 W KENNEDY BLVD",
"address_2": "SUITE 214",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092288",
"telephone_number": "813-207-0022",
"fax_number": "813-207-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "CAROL",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 001407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Z2014",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.