Individual provider Active NPI

Jennifer Lynn Parker, MLADC

  • Mental Health Counselor
  • Laconia, NH
National Provider Identifier
1497121396
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1234 Issued in NH
Practice address
61 Beacon St W Ste 3
Laconia, NH 03246-3460
Phone
(603) 524-4664
Fax
(603) 524-4986
NPI assigned
Aug 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 861 NH
Mental Health Counselor 101YM0800X 1234 NH Primary

Addresses

Primary practice location

61 Beacon St W Ste 3
Laconia, NH 03246-3460

Mailing address

61 Beacon St W Ste 3
Laconia, NH 03246-3460
Phone (603) 524-4664

Other practice location 1

23 Elm St
Northfield, NH 03276-1528
Phone (603) 934-5297 ext. 3855

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

LicenseStateTypeSpecialty
861NHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Counseling Center, Inc. Addiction (Substance Use Disorder) Current Accepting new patients

Locations

61 Beacon St W
Ste 3
Laconia, NH 03246
Phone (603) 524-4664

Organizations & group practices 1

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": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1497121396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BEACON ST W STE 3",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463460",
            "telephone_number": "603-524-4664",
            "fax_number": "603-524-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BEACON ST W STE 3",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463460",
            "telephone_number": "603-524-4664",
            "fax_number": "603-524-4986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Elm St",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "NH",
            "postal_code": "032761528",
            "country_code": "US",
            "telephone_number": "603-934-5297 x3855",
            "fax_number": "603-286-1277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "861",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.