Individual provider Active NPI

Lauren Bennett Parrish, LMHC

  • Mental Health Counselor
  • Fleming Island, FL
National Provider Identifier
1902471964
Registry record updated May 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16435 Issued in FL
Practice address
4609 US Highway 17 Ste 1
Fleming Island, FL 32003-4818
Phone
(904) 375-2353
Fax
(904) 375-2349
NPI assigned
May 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH16435 FL Primary

Addresses

Primary practice location

4609 US Highway 17 Ste 1
Fleming Island, FL 32003-4818

Mailing address

4609 US Highway 17 Ste 1
Fleming Island, FL 32003-4818
Phone (904) 375-2353

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH16435FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621728000000",
    "number": "1902471964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 US HIGHWAY 17 STE 1",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034818",
            "telephone_number": "904-375-2353",
            "fax_number": "904-375-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 US HIGHWAY 17 STE 1",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034818",
            "telephone_number": "904-375-2353",
            "fax_number": "904-375-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "LAUREN",
        "middle_name": "BENNETT",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; 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.