Active NPI
Darrell Louis Parker, LCPC
- Mental Health Counselor
- Upper Marlboro, MD
National Provider Identifier
1578033288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC12606
- Practice address
- 422 Kettering Dr
Upper Marlboro, MD 20774-1552 - Phone
- (301) 357-4628
- NPI assigned
- Nov 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LC12606 | MD | |
| Professional Counselor | 101YP2500X | LC12606 | MD | |
| Community Health Worker | 172V00000X | |||
| Mental Health Counselor | 101YM0800X | LC12606 | MD | Primary |
Addresses
Primary practice location
422 Kettering Dr
Upper Marlboro, MD 20774-1552
Mailing address
422 Kettering Dr
Upper Marlboro, MD 20774-1552
Phone (240) 988-9681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250113002820 | DC | Practitioner - Mental Health Counselor | 4284162660 | Practice locations: Upper Marlboro, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC12606 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1578033288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 KETTERING DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741552",
"telephone_number": "240-988-9681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 KETTERING DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741552",
"telephone_number": "301-357-4628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "DARRELL",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-26",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LC12606",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC12606",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC12606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.