Shawntre Ann Parks Jr., MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT95741 Issued in CA

Practice address

1425 W Foothill Blvd Ste 310
Upland, CA 91786-8007

Phone

(877) 527-7227

NPI assigned

Aug 21, 2013

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

Other identifiers 1

Other names 1

• Dr. Shawntres Ann Parks Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• South Coast Children'S Society, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mission Viejo, CA
  • NPI 1083503577
  NPD (past)

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1831523299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 GREAT MOUNTAIN DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912381",
            "telephone_number": "619-718-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W FOOTHILL BLVD STE 310",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868007",
            "telephone_number": "877-527-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "SHAWNTRE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT95741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LMFT95741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNTRES",
            "last_name": "PARKS",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rhoeun Park
• Martha Bea Parker
• Travis Dejon Parker
• Kevin J Parkes, MD
• Parks & Powers Psychotherapy
• Parkside Medical Group Inc
• Maribel Parra
• Sowrabh Kumar Paspulati Saibaba
• Andrea Paola Passalacqua, DO
• Bipin C Patadia, MD

• Marriage & Family Therapist in Upland, CA
• Providers in Upland, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.