Randall M. Parker, LCSW, CADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LCSW-44631 Issued in ID

Practice address

685 1St St
Idaho Falls, ID 83401-4003

Phone

(208) 932-4493

NPI assigned

May 1, 2016

Last updated

May 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wright Step Counseling and Recovery

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1437785698

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Dean Counseling Inc

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1558763490
  NPD (past)
• Nalbone Family Chiropractic and Wellness, LLC

  • Chiropractor
  • Boise, ID
  • NPI 1073776654

  Multi-Specialty

  NPD (past)
• New Horizons Mental Wellness Clinics PLLC

  • Case Management Registered Nurse
  • Pocatello, ID
  • NPI 1285029496
  NPD (past)
• Stewards of Recovery

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1720486228

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1462060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1609221308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014003",
            "telephone_number": "208-681-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014003",
            "telephone_number": "208-932-4493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1171 N Skyline Dr Apt 3",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834021766",
            "country_code": "US",
            "telephone_number": "208-681-2208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1337 E 17th St",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834046235",
            "country_code": "US",
            "telephone_number": "208-681-7797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RANDALL",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-01",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCSW-44631",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "CADC-11672",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-44631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paragon Anesthesia LLC
• Brent Earl Parker Jr., ATP
• Chelsee Parker
• Jason Wylie Parker, DC, NMD
• Peter Parker, DC
• Robert Ean Parker, BA
• Scott J Parker, M.D.
• Tyson Craig Parker, PA-C
• Brant Parkinson, PA-C
• Craig James Parkinson, ATC, LAT

• Counselor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.

Verify at the official NPI Registry.