Individual provider Active NPI

Valery Todd Parrish, LPC

  • Professional Counselor
  • Rome, GA
National Provider Identifier
1861662637
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC3930 Issued in GA
Practice address
705 North Division Street NW
Highland Rivers CSB, Floyd County, Adult Mental Health
Rome, GA 30165-1454
Phone
(706) 802-5437
Fax
(706) 802-5440
NPI assigned
Mar 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC003930 GA
Professional Counselor 101YP2500X LPC3930 GA Primary

Addresses

Primary practice location

705 North Division Street NW
Highland Rivers CSB, Floyd County, Adult Mental Health
Rome, GA 30165-1454

Mailing address

1620 Hickory Street Ste 404
Highland Rivers CSB
Dalton, GA 30720-2312
Phone (706) 270-5033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC003930GAMDProfessional Counselor
LPC3930GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1861662637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HICKORY STREET STE 404",
            "address_2": "HIGHLAND RIVERS CSB",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202312",
            "telephone_number": "706-270-5033",
            "fax_number": "706-370-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 NORTH DIVISION STREET NW",
            "address_2": "HIGHLAND RIVERS CSB, FLOYD COUNTY, ADULT MENTAL HEALTH",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651454",
            "telephone_number": "706-802-5437",
            "fax_number": "706-802-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "VALERY",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-07",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003930",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC3930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.