Individual provider Active NPI

Jennifer Parker

  • Addiction (Substance Use Disorder) Counselor
  • Newark, DE
National Provider Identifier
1942535224
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
905 Issued in DE
Practice address
254 E Main St
Newark, DE 19711-7311
Phone
(302) 731-1504
NPI assigned
Oct 5, 2009
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 905 DE Primary
Professional Counselor 101YP2500X PC0000582 DE

Addresses

Primary practice location

254 E Main St
Newark, DE 19711-7311

Mailing address

835 Springdale Dr
Suite 100
Exton, PA 19341-2841
Phone (610) 363-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20260512001674 DE Practitioner - Mental Health Counselor 4082183793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pike Creek Psychological CenterGroup PAC ID 4385899855, 5 clinicians

Practice addresses (Care Compare)

8 Polly Drummond Hill Rd
Newark, DE 19711-5703
Phone (302) 738-6859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
905DEMDAddiction (Substance Use Disorder) Counselor
PC0000582DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pike Creek Psychological Center CurrentSince Apr 6, 2026 Accepting new patients

Locations

8 Polly Drummond Hill Rd
Newark, DE 19711
Phone (302) 738-6859

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1942535224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SPRINGDALE DR",
            "address_2": "SUITE 100",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412841",
            "telephone_number": "610-363-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 E MAIN ST",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117311",
            "telephone_number": "302-731-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "905",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC0000582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.