Individual provider Active NPI

Raleisa Parker, LPC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1760029979
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-24977 Issued in AZ
Practice address
4646 E Greenway Rd Ste 100
Phoenix, AZ 85032-4805
Phone
(480) 674-9220
NPI assigned
Dec 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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 LPC-24977 AZ Primary
Mental Health Counselor 101YM0800X E.2607458 OH

Addresses

Primary practice location

4646 E Greenway Rd Ste 100
Phoenix, AZ 85032-4805

Mailing address

5054 Breezeway Dr
Toledo, OH 43613-2523
Phone (531) 777-8981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
FKL Enterprises, LLC CurrentSince Jul 1, 2026 Accepting new patients
FKL Enterprises, LLC CurrentSince Jul 1, 2026 Accepting new patients
Innovations in Learning, PC Mental Health CurrentSince Dec 9, 2019 Accepting new patients
Limitless Healing LLC Mental Health Past Accepting new patients

Locations

4646 E Greenway Rd
Ste 100
Phoenix, AZ 85032
Phone (480) 674-9220

8700 E Via de Ventura
Ste 280
Scottsdale, AZ 85258
Phone (480) 210-7266

8200 Georgia St
Merrillville, IN 46410
Phone (219) 791-1400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1760029979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5054 BREEZEWAY DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436132523",
            "telephone_number": "531-777-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 E GREENWAY RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324805",
            "telephone_number": "480-674-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RALEISA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-24977",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2607458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.