Alexandrea Parker, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801112280 Issued in MI

Practice address

6810 Old 28TH St SE Ste 4
Grand Rapids, MI 49546-6932

Phone

(616) 264-5414

NPI assigned

Aug 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alexandrea Parker LLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1104400753
  NPD Authorized official
• Counseling Center of West Michigan, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1437610730
  NPD
• Live Your Joy Counseling PLLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1083428783
  NPD
• Sollars and Associates

  • Psychologist
  • Sterling Heights, MI
  • NPI 1538482187
  NPD (past)
• Virtuwell Therapy, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1871356212
  NPD (past)

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1881206167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 COVELL AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045936",
            "telephone_number": "517-927-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 OLD 28TH ST SE STE 4",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466932",
            "telephone_number": "616-264-5414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Covell Ave NW",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495045936",
            "country_code": "US",
            "telephone_number": "517-927-6457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ALEXANDREA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2023-02-17",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801112280",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801105388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley J Park
• Crystal L Park, M.S.
• Hanna Park, MD, MPH
• Jaehan Park, MD
• Allena Mae Parker-McCain
• Drew Parker
• Elizabeth Joy Parker, MD
• Emily Susannah Parker, N.P.
• Fantasia Elizabeth Parker
• Jahtarius Destiny-Danyell Parker

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.