Kevin B Parker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009401 Issued in NC

Practice address

79 Academy St
Marion, NC 28752-3901

Phone

(828) 559-0125

Fax

(828) 559-2521

NPI assigned

Apr 24, 2015

Sex

Male

Sole proprietor

No

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 NC

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 and National Provider Directory roles.

• Carenet, Inc.

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1043424013

  NC

  Medicare reassignment NPD
• Carenet Inc

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1376432492

  Counselor

  NPD
• Carenet, Inc.

  • Mental Health Counselor
  • Marion, NC
  • NPI 1356716278
  NPD
• Mindpath Care Centers, North Carolina, PLLC

  • Psychiatry Physician
  • Durham, NC
  • NPI 1508803214

  Clinical

  NPD

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1659768992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 ACADEMY ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287523901",
            "telephone_number": "828-559-0125",
            "fax_number": "828-559-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 ACADEMY ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287523901",
            "telephone_number": "828-559-0125",
            "fax_number": "828-559-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KEVIN",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "C009401",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-23275",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Elie Osta, DMD
• Clare Elizabeth Owensby
• Tabitha Wendy Paben, LPCA
• Leslie Padgett, RN
• Drew Stephen Parker, PHARMD
• Narendrakumar Ashabhai Patel, M.D.
• Nisha N Patel, MD FACOG
• Jessica Dawn Patrino, PA-C
• Peaceful Personal Growth Program Inc.
• Hannah Peerless

• All providers in Marion, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.