Wanda Parker, MA, CADC, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.010540 Issued in IL

Practice address

14710 Central Ave
Apartment C319
Oak Forest, IL 60452-1252

Phone

(773) 575-9631

NPI assigned

Jun 22, 2014

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1403395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1689089377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14710 CENTRAL AVE",
            "address_2": "APARTMENT C319",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521252",
            "telephone_number": "773-575-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14710 CENTRAL AVE",
            "address_2": "APARTMENT C319",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521252",
            "telephone_number": "773-575-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "WANDA",
        "credential": "MA, CADC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-22",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "21216",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Theresse Orowick-Harper, CTRS
• Pacestaffinghomehealthcare
• Danilo T Pacheco, MD
• Mara Palmer, ED.S., NCSP
• Carly Rae Paragas, DDS
• Olivia Esther Patch, M.D.
• Usha Patel, R.N.
• PCMC East
• Perpetual Home Health, Inc.
• Sherry Ann Petro, L.C.S.W.

• Professional Counselor in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.