Active NPI
Thomas K Parks Sr., M.A.
- Marriage & Family Therapist
- Fort Collins, CO
National Provider Identifier
1730201476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 694
- Practice address
- 2700 S Lemay Ave
Fort Collins, CO 80525-2264 - Phone
- (970) 566-3986
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 694 | CO | Primary |
Addresses
Primary practice location
2700 S Lemay Ave
Fort Collins, CO 80525-2264
Mailing address
5212 Parkway Cir W
Fort Collins, CO 80525-3893
Phone (970) 566-3986
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 694 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730201476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5212 PARKWAY CIR W",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253893",
"telephone_number": "970-566-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 S LEMAY AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252264",
"telephone_number": "970-566-3986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "THOMAS",
"middle_name": "K",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.