Individual provider Active NPI

Magna Parks Porterfield, PH.D.

  • Counseling Psychologist
  • Huntsville, AL
National Provider Identifier
1942357116
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1839 Issued in GA
Practice address
936 Jeff Rd NW
Huntsville, AL 35806-1238
Phone
(256) 837-2127
NPI assigned
Jan 3, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1971 AL
Counseling Psychologist 103TC1900X 1839 GA Primary

Addresses

Primary practice location

936 Jeff Rd NW
Huntsville, AL 35806-1238

Mailing address

201 Water Hill Rd Apt A19
Madison, AL 35758-2912
Phone (678) 665-7968

Other practice location 1

225 Cedar Rd
Covington, GA 30016-5108
Phone (678) 665-7968

Other identifiers 1

IdentifierTypeStateIssuer
00598683MedicaidGA

Other names 1

  • Dr. Magna James Parks Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1839GAMDMental Health Counselor
1971ALMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942357116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WATER HILL RD APT A19",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582912",
            "telephone_number": "678-665-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 JEFF RD NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061238",
            "telephone_number": "256-837-2127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Cedar Rd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300165108",
            "country_code": "US",
            "telephone_number": "678-665-7968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS PORTERFIELD",
        "first_name": "MAGNA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AL",
            "license": "1971",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "1839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00598683",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGNA",
            "last_name": "JAMES PARKS",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.