Katherine Amanda Parks, CAADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C0291 Issued in GA

Practice address

229 S Davis Rd Ste 900
Lagrange, GA 30241-2609

Phone

(706) 756-1489

Fax

(706) 756-1493

NPI assigned

Feb 27, 2019

Last updated

Feb 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crossroads Treatment Center of Lagrange, PC

  • Community/Behavioral Health Agency
  • Lagrange, GA
  • NPI 1588102438
  NPD (past)

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1881151769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 COUNTY ROAD 61",
            "city": "ROANOKE",
            "state": "AL",
            "postal_code": "362744652",
            "telephone_number": "334-646-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 S DAVIS RD STE 900",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412609",
            "telephone_number": "706-756-1489",
            "fax_number": "706-756-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "KATHERINE",
        "middle_name": "AMANDA",
        "credential": "CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "C0291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P4 Physical Therapy Limited Partnership
• P4 Physical Therapy Limited Partnership
• Janice Taylor Page, PHARMD
• Adam T. Pancake, LPC
• Emily Leighton Parker
• Stacey Allison Carroll Parsons, FNP
• Himeshkumar Patel
• Pathways Center for Behavioral & Developmental Growth
• Pathways Center for Behavioral & Developmental Growth
• Pathways Center for Behavioral & Developmental Growth

• Addiction (Substance Use Disorder) Counselor in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.