Individual provider Active NPI

Angel Parks

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1558647255
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
D080243004 Issued in OK
Practice address
1516 S Boston Ave
Suite 1 Boston Place
Tulsa, OK 74119-4003
Phone
(918) 561-6000
Fax
(918) 561-6001
NPI assigned
Oct 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X D080243004 OK Primary

Addresses

Primary practice location

1516 S Boston Ave
Suite 1 Boston Place
Tulsa, OK 74119-4003

Mailing address

1516 S Boston Ave
Suite 1 Boston Place
Tulsa, OK 74119-4003
Phone (918) 561-6000

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
D080243004OKMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1558647255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 S BOSTON AVE",
            "address_2": "SUITE 1 BOSTON PLACE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194003",
            "telephone_number": "918-561-6000",
            "fax_number": "918-561-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 S BOSTON AVE",
            "address_2": "SUITE 1 BOSTON PLACE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194003",
            "telephone_number": "918-561-6000",
            "fax_number": "918-561-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "ANGEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "D080243004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.