Active NPI
Peggy Anne Parnell, MFT INTERN
- Counselor
- Petaluma, CA
National Provider Identifier
1821133190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- IMF48019
- Practice address
- 1624 Joan Dr Ste a
Petaluma, CA 94954-3657 - Phone
- (707) 206-1016
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | IMF48019 | CA | Primary |
Addresses
Primary practice location
1624 Joan Dr Ste a
Petaluma, CA 94954-3657
Mailing address
1624 Joan Dr
Petaluma, CA 94954-3657
Phone (707) 206-1016
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 |
|---|---|---|---|
| IMF48019 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1821133190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 JOAN DR",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949543657",
"telephone_number": "707-206-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 JOAN DR STE A",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949543657",
"telephone_number": "707-206-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARNELL",
"first_name": "PEGGY",
"middle_name": "ANNE",
"credential": "MFT INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "IMF48019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.