NPIMap

Organization Active NPI

Vancouver Psychological and Counseling Services, PLLC

  • Clinical Psychologist
  • Vancouver, WA
National Provider Identifier
1548021074
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
VANCOUVER PSYCHOLOGICAL AND COUNSELING SERVICES, PLLC
Practice address
612 E 17TH St
Vancouver, WA 98663-3428
Phone
(360) 904-9398
Fax
(360) 368-8747
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Dr. Cynthia E Parker, PHDNPI 1043558307
Title
Clinical Psychologist - Owner
Phone
(360) 904-9398

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

612 E 17TH St
Vancouver, WA 98663-3428

Mailing address

6400 NE Highway 99 Ste G185
Vancouver, WA 98665-8799
Phone (360) 904-9398

Other practice location 1

105 NE 72nd Cir
Vancouver, WA 98665-8664
Phone (360) 904-9398

Other practice location 2

10406 NE 70th Ct
Vancouver, WA 98686-3804
Phone (360) 904-9398

National Provider Directory

National Provider Directory

Locations

6400 NE Highway 99
Ste G185
Vancouver, WA 98665

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1548021074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 NE HIGHWAY 99 STE G185",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658799",
            "telephone_number": "360-904-9398",
            "fax_number": "360-368-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E 17TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633428",
            "telephone_number": "360-904-9398",
            "fax_number": "360-368-8747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 NE 72nd Cir",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986658664",
            "country_code": "US",
            "telephone_number": "360-904-9398",
            "fax_number": "360-368-8747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10406 NE 70th Ct",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986863804",
            "country_code": "US",
            "telephone_number": "360-904-9398",
            "fax_number": "360-368-8747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VANCOUVER PSYCHOLOGICAL AND COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST - OWNER",
        "authorized_official_telephone_number": "360-904-9398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.