Individual provider Active NPI

Robin Ibronke Parks, MA, NCC, LCPC

  • Professional Counselor
  • Bowie, MD
National Provider Identifier
1578944682
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6539 Issued in MD
Practice address
16507 Governor Bridge Rd
307
Bowie, MD 20716-3650
Phone
(703) 638-4913
NPI assigned
Jun 15, 2015
Last updated
Aug 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NCC298949 DC
Professional Counselor 101YP2500X LC6539 MD Primary

Addresses

Primary practice location

16507 Governor Bridge Rd
307
Bowie, MD 20716-3650

Mailing address

16507 Governor Bridge Rd
307
Bowie, MD 20716-3650
Phone (703) 638-4913

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
NCC298949DCMDProfessional Counselor
LC6539MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Therapeutic Counseling,LLC Professional Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1578944682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16507 GOVERNOR BRIDGE RD",
            "address_2": "307",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163650",
            "telephone_number": "703-638-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16507 GOVERNOR BRIDGE RD",
            "address_2": "307",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163650",
            "telephone_number": "703-638-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "ROBIN",
        "middle_name": "IBRONKE",
        "credential": "MA, NCC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "NCC298949",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.