Parra Counseling and Wellness Services, a LCSW Practice, Apc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PARRA COUNSELING AND WELLNESS SERVICES, A LCSW PRACTICE, APC

Practice address

3160 W Ramsey St
Banning, CA 92220-3724

Phone

(951) 267-3522

Fax

(951) 468-3087

NPI assigned

Aug 10, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Parra, LCSWNPI 1063688430

Title

President

Phone

(951) 318-7798

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• None Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Parra

  • Clinical Social Worker
  • Loma Linda, CA
  • NPI 1063688430
  Medicare reassignment NPD Authorized official
• Judith Lynn Diaz, AMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Banning, CA
  • NPI 1841610219
  NPD (past)
• Laura Marguerite Miles

  • Clinical Social Worker
  • San Francisco, CA
  • NPI 1114186293
  NPD (past)

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1760110530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203724",
            "telephone_number": "512-673-5229",
            "fax_number": "951-468-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203724",
            "telephone_number": "951-267-3522",
            "fax_number": "951-468-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARRA COUNSELING AND WELLNESS SERVICES, A LCSW PRACTICE, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "PARRA",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-318-7798",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA232096",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "None",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Michelle Paladino, AOD
• Marcos Palafox, M.D
• Joshua Pannell
• Clare Park, PHARMD
• Jeanette Genkyung Park, RDH
• Maria Patel
• Shefali V Patel, DMD
• Melissa Patton
• Jennifer Lee Paugh
• Karissa Lynn Paul, O.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Banning, CA
• Providers in Banning, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.