Active NPI
Keesha Parker, LPC
- Professional Counselor
- Fort Smith, AR
National Provider Identifier
1801234752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1602018
- Practice address
- 5004 S U St Ste 205
Fort Smith, AR 72903-3600 - Phone
- (479) 719-8992
- NPI assigned
- Jun 12, 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 | P1602018 | AR | Primary |
Addresses
Primary practice location
5004 S U St Ste 205
Fort Smith, AR 72903-3600
Mailing address
5004 S U St Ste 205
Fort Smith, AR 72903-3600
Phone (479) 719-8992
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
| License | State | Type | Specialty |
|---|---|---|---|
| P1602018 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710547200000",
"number": "1801234752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5004 S U ST STE 205",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729033600",
"telephone_number": "479-719-8992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5004 S U ST STE 205",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729033600",
"telephone_number": "479-719-8992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "KEESHA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2024-03-16",
"certification_date": "2024-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1602018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.