Mary Desonde Parkinson, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180006680 Issued in IL

Practice address

738 Hinman Ave
Unit G
Evanston, IL 60202-2576

Phone

(847) 864-2163

NPI assigned

Nov 6, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

State licenses

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1821242694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 HINMAN AVE",
            "address_2": "UNIT G",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022576",
            "telephone_number": "847-864-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 HINMAN AVE",
            "address_2": "UNIT G",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022576",
            "telephone_number": "847-864-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKINSON",
        "first_name": "MARY",
        "middle_name": "DESONDE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180006680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park and Test LLC
• Gloria Eunjin Park, DNP, CRNA
• Amanda Marie Parker, DNP, CRNA
• Kathleen S Parker
• Heather Parkerson, FNP
• Andrea Parks, PA-C
• Randy S Parks, M.A. L.C.P.C.
• Claire Parmenter, DPT
• Muriel R. Patay, D.MIN., LCSW
• Colton Pate, DO

• Mental Health Counselor in Evanston, IL
• Providers in Evanston, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.