Individual provider Active NPI

Lachanda Clotiel Parks Sr., LCAS-A

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
National Provider Identifier
1710024880
Registry record updated May 30, 2013
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jul 20, 2016.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
3307-A Issued in NC
Practice address
6532 Prosperity Commons Dr
Charlotte, NC 28269-2326
Phone
(704) 728-2864
Fax
(704) 688-6641
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3307-A NC Primary

Addresses

Primary practice location

6532 Prosperity Commons Dr
Charlotte, NC 28269-2326

Mailing address

6532 Prosperity Commons Dr
Charlotte, NC 28269-2326
Phone (704) 728-2864

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3307-ANCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1710024880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6532 PROSPERITY COMMONS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692326",
            "telephone_number": "704-728-2864",
            "fax_number": "704-688-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6532 PROSPERITY COMMONS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692326",
            "telephone_number": "704-728-2864",
            "fax_number": "704-688-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "LACHANDA",
        "middle_name": "CLOTIEL",
        "name_prefix": "Mrs.",
        "name_suffix": "Sr.",
        "credential": "LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3307-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.