Ambitious Soule L.L.C

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AMBITIOUS SOULE L.L.C

Practice address

10725 Fern PL
Jamaica, NY 11433-2598

Phone

(201) 357-7181

NPI assigned

Mar 23, 2026

Organization subpart

No

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

Authorized official

Name

Dominique ParkerNPI 1427938521

Title

Casac-T

Phone

(929) 393-8273

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominique Krystal Parker

  • Addiction (Substance Use Disorder) Counselor
  • New York, NY
  • NPI 1427938521
  NPD Authorized official

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1851239693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 PARK AVE S PMB 153925",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 FERN PL",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332598",
            "telephone_number": "201-357-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBITIOUS SOULE L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "CASAC-T",
        "authorized_official_telephone_number": "929-393-8273"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Lucia Alvites, P.A.-C
• Hira Aman, PHARM D
• Maral Amangurbanova, MD
• Nadira Amaurat Persaud, LCSW, LMSW
• Amazing Medical Services P.C.
• Emily Marguerite Ambizas, PHARM.D.
• Kaleish Jamilia Ambris
• Tamara Ambrose, MSED
• Kattlene Amedee
• Americana Home Care LLC

• Community/Behavioral Health Agency in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.