Individual provider Active NPI

Tia Parsley, LAC, LCDC, LPC

  • Professional Counselor
  • Conroe, TX
National Provider Identifier
1871626176
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67074 Issued in TX
Practice address
1020 Riverwood CT BLDG 1
Conroe, TX 77304-2811
Phone
(936) 521-6136
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A0304030 AR
Addiction (Substance Use Disorder) Counselor 101YA0400X 11088 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 281L AR
Professional Counselor 101YP2500X 67074 TX Primary

Addresses

Primary practice location

1020 Riverwood CT BLDG 1
Conroe, TX 77304-2811

Mailing address

1020 Riverwood CT BLDG 1
Conroe, TX 77304-2811
Phone (936) 521-6365

Other names 1

  • Tia Silliman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 5, 2024 through Mar 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A0304030ARMDCounselor
281LARMDAddiction (Substance Use Disorder) Counselor
67074TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1871626176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT BLDG 1",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042811",
            "telephone_number": "936-521-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT BLDG 1",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042811",
            "telephone_number": "936-521-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSLEY",
        "first_name": "TIA",
        "name_prefix": "Ms.",
        "credential": "LAC, LCDC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A0304030",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11088",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "281L",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIA",
            "last_name": "SILLIMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.