Active NPI
Marrionettia Davis Parker, L.P.C.
- Professional Counselor
- Columbia, SC
National Provider Identifier
1710220660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5436
- Practice address
- 2065 Blossom St
Suite 204
Columbia, SC 29205-2220 - Phone
- (803) 473-6613
- NPI assigned
- Mar 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 5436 | SC | Primary |
Addresses
Primary practice location
2065 Blossom St
Suite 204
Columbia, SC 29205-2220
Mailing address
1728 Pinewood Dr
Columbia, SC 29205-3274
Phone (803) 473-6613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 9, 2024 through Oct 9, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5436 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1710220660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 PINEWOOD DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292053274",
"telephone_number": "803-473-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2065 BLOSSOM ST",
"address_2": "SUITE 204",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292052220",
"telephone_number": "803-473-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "MARRIONETTIA",
"middle_name": "DAVIS",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-28",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.