Cory Parsons, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2211006 Issued in AR

Practice address

1310 W Main St Ste 101
Russellville, AR 72801-2803

Phone

(479) 968-2001

Fax

(479) 705-1635

NPI assigned

Aug 28, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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.

Enrollment records 1

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.

• Mountain Creek Counseling, LLC

  • Mental Health Counselor
  • Russellville, AR
  • NPI 1124716493
  Medicare reassignment NPD Authorized official
• Real Development Corporation

  • Community/Behavioral Health Agency
  • Russellville, AR
  • NPI 1568943140
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1902352115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303724",
            "telephone_number": "479-705-1634",
            "fax_number": "479-705-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W MAIN ST STE 101",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012803",
            "telephone_number": "479-968-2001",
            "fax_number": "479-705-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "CORY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2102210",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2211006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223085795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Paquette
• Zuleyka Zarahi Parada
• Stephanie Nicole Parish
• Lauren Parker
• Parkway Dental, P.C.
• Connie Lynn Partin, M.S., P.T.
• Mallory Pate, PHARM.D.
• Pathology Services Laboratory PA
• Pathology Services Laboratory PA
• Beverly Patterson

• Professional Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.