Individual provider Active NPI

Darrell Louis Parker, LCPC

  • Mental Health Counselor
  • Upper Marlboro, MD
National Provider Identifier
1578033288
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC12606 Issued in MD
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

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC12606 MD
Professional Counselor 101YP2500X LC12606 MD
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113002820 DC Practitioner - Mental Health Counselor 4284162660 Practice locations: Upper Marlboro, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC12606MDMDProfessional 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

Verify at the official NPI Registry.