Active NPI
Penny Lasalle Parks, M.S.
- Professional Counselor
- Wauwatosa, WI
National Provider Identifier
1649403114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 653-226
- Practice address
- 7251 W North Ave
Wauwatosa, WI 53213-1851 - Phone
- (414) 258-6000
- Fax
- (414) 258-3700
- NPI assigned
- Aug 31, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 653-226 | WI | Primary |
Addresses
Primary practice location
7251 W North Ave
Wauwatosa, WI 53213-1851
Mailing address
7251 W North Ave
Wauwatosa, WI 53213-1851
Phone (414) 258-6000
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 653-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karissa Vogel, LLC | Past | Accepting new patients | |
| Michelle Schaf, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Wauwatosa, WI
- NPI 1295116325
-
- Community/Behavioral Health Agency
- Wauwatosa, WI
- NPI 1205215514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1649403114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7251 W NORTH AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131851",
"telephone_number": "414-258-6000",
"fax_number": "414-258-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7251 W NORTH AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131851",
"telephone_number": "414-258-6000",
"fax_number": "414-258-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "PENNY",
"middle_name": "LASALLE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "653-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.