Individual provider Active NPI

Sydney Parker, ACMHC, LAC, NCC, CRC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1750094702
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9578295-6009 Issued in UT
Practice address
4500 E Sunrise Dr
Tucson, AZ 85718-5347
Phone
(281) 509-1122
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAC-20229 AZ
Mental Health Counselor 101YM0800X 9578295-6009 UT Primary

Addresses

Primary practice location

4500 E Sunrise Dr
Tucson, AZ 85718-5347

Mailing address

4500 E Sunrise Dr
Tucson, AZ 85718-5347
Phone (281) 509-1122

Other identifiers 2

IdentifierTypeStateIssuer
20229OtherAZSTATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
9578295-6009OtherUTSTATE OF UTAH DEPARTMENT OF COMMERCE

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

State licenses

LicenseStateTypeSpecialty
LAC-20229AZMDMental Health Counselor
9578295-6009UTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1750094702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E SUNRISE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185347",
            "telephone_number": "281-509-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E SUNRISE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185347",
            "telephone_number": "281-509-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SYDNEY",
        "credential": "ACMHC, LAC, NCC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-20229",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9578295-6009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "20229",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH DEPARTMENT OF COMMERCE",
            "identifier": "9578295-6009",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.