Active NPI
Lisa Parks, BS-PSYCHOLOGY
- Marriage & Family Therapist
- Watertown, SD
National Provider Identifier
1639528862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 123 19TH St NE
Watertown, SD 57201 - Phone
- (605) 886-0123
- Fax
- (605) 886-5447
- NPI assigned
- Jun 8, 2016
- Last updated
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | SD | Primary |
Addresses
Primary practice location
123 19TH St NE
Watertown, SD 57201
Mailing address
PO Box 1030
Watertown, SD 57201
Phone (605) 886-0123
Other names 1
- Lisa Millsap
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Marriage & Family Therapist | Current | Accepting new patients |
| Human Service Agency | Past | Accepting new patients |
Interoperability endpoints
- lisaparks@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Marriage & Family Therapist
-
- Addiction (Substance Use Disorder) Counselor
- Watertown, SD
- NPI 1720074644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1639528862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1030",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "57201",
"telephone_number": "605-886-0123",
"fax_number": "605-886-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 19TH ST NE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "57201",
"telephone_number": "605-886-0123",
"fax_number": "605-886-5447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "LISA",
"credential": "BS-PSYCHOLOGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "MILLSAP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.