Individual provider Active NPI

Jennifer Parker, LPC

  • Professional Counselor
  • Wichita, KS
National Provider Identifier
1851972152
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
03792-P Issued in KS
Practice address
4035 E Harry St
Wichita, KS 67218-3724
Phone
(316) 660-7700
Fax
(316) 941-5075
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 03792-P KS Primary

Addresses

Primary practice location

4035 E Harry St
Wichita, KS 67218-3724

Mailing address

271 W 3Rd St Ste 600
Wichita, KS 67202-1223
Phone (316) 660-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313002388 KS Practitioner - Mental Health Counselor 4385080209 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03792-PKSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sedgwick CurrentSince Feb 6, 2024 Accepting new patients
County of Sedgwick Current Accepting new patients
County of Sedgwick Past Accepting new patients

Locations

271 W 3rd St N
Ste 600
Wichita, KS 67202

1720 E Morris St
Ste 101
Wichita, KS 67211
Phone (316) 660-1900

1919 N Amidon Ave
Ste 130
Wichita, KS 67203
Phone (316) 660-7675

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1851972152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 W 3RD ST STE 600",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672021223",
            "telephone_number": "316-660-7600",
            "fax_number": "316-941-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183724",
            "telephone_number": "316-660-7700",
            "fax_number": "316-941-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "03792-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.