Individual provider Active NPI

Judy Lynne Parkins, MS,LBP,LADC

  • Professional Counselor
  • Ada, OK
National Provider Identifier
1689877904
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0006 Issued in OK
Practice address
124 S Broadway Ave
Suite 408
Ada, OK 74820-5807
Phone
(580) 332-8773
Fax
(580) 332-8774
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 513 OK
Professional Counselor 101YP2500X 0006 OK Primary

Addresses

Primary practice location

124 S Broadway Ave
Suite 408
Ada, OK 74820-5807

Mailing address

124 S Broadway Ave
Suite 408
Ada, OK 74820-5807
Phone (580) 332-8773

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

LicenseStateTypeSpecialty
0006OKMDProfessional Counselor
513OKMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1689877904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S BROADWAY AVE",
            "address_2": "SUITE 408",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205807",
            "telephone_number": "580-332-8773",
            "fax_number": "580-332-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S BROADWAY AVE",
            "address_2": "SUITE 408",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205807",
            "telephone_number": "580-332-8773",
            "fax_number": "580-332-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKINS",
        "first_name": "JUDY",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "MS,LBP,LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "513",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "0006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.