Angelique Parks, MA, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0134668 Issued in VT

Practice address

168 North St
Bennington, VT 05201-1874

Phone

(802) 342-4636

NPI assigned

Jul 31, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Guiding Hands Counseling, PLLC

  • Mental Health Counselor
  • Bennington, VT
  • NPI 1396471892
  Medicare reassignment NPD Authorized official
• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993
  NPD (past)

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1801440540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CROSS ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012046",
            "telephone_number": "802-881-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 NORTH ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011874",
            "telephone_number": "802-342-4636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 McClellan St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123041020",
            "country_code": "US",
            "telephone_number": "518-382-2290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "ANGELIQUE",
        "credential": "MA, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Orzehowski, DC
• Julie Pagliccia, MS
• Malcolm A. Paine, M.D.
• Priscilla Paiva, M.D.
• Frank Palisano
• Nora Glee Parsons, MSW
• Amy Patac
• Kavi Patel, M.D,
• Lisa Patorti, NP-BC
• McCamie Dearmon Patterson, DPM

• Mental Health Counselor in Bennington, VT
• Providers in Bennington, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.