Active NPI
John Stephen Parker, MS
- Mental Health Counselor
- Wilmington, DE
National Provider Identifier
1962615252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC-0000439
- Practice address
- 2601 Annand Dr Ste 20
Wilmington, DE 19808 - Phone
- (302) 898-9861
- Fax
- (610) 274-2209
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC-0000439 | DE | Primary |
| Clinical Psychologist | 103TC0700X | PS-006161-L | PA | |
| Counseling Psychologist | 103TC1900X | PS-006161-L | PA |
Addresses
Primary practice location
2601 Annand Dr Ste 20
Wilmington, DE 19808
Mailing address
2601 Annand Dr Ste 20
Wilmington, DE 19808-3719
Phone (302) 898-9861
Other practice location 1
515 W 18th St
Wilmington, DE 19802-4705
Phone (302) 898-9861
Other practice location 2
1 Kings Ct
Landenberg, PA 19350-9324
Phone (302) 898-9861
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962615252 | Medicaid | DE | |
| PS-006161-L | Other | PA | LICENSED PSYCHOLOGIST |
| 0013914540003 | Medicaid | PA | |
| 1962615252 | Other | DE | LPCMH |
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)
- Enrolled
- Credentials
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC-0000439 | DE | MD | Mental Health Counselor |
| PS-006161-L | PA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1962615252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 ANNAND DR STE 20",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198083719",
"telephone_number": "302-898-9861",
"fax_number": "610-274-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 ANNAND DR STE 20",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19808",
"telephone_number": "302-898-9861",
"fax_number": "610-274-2209"
}
],
"practiceLocations": [
{
"address_1": "515 W 18th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198024705",
"country_code": "US",
"telephone_number": "302-898-9861",
"fax_number": "610-274-2209",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Kings Ct",
"address_purpose": "LOCATION",
"city": "Landenberg",
"state": "PA",
"postal_code": "193509324",
"country_code": "US",
"telephone_number": "302-898-9861",
"fax_number": "610-274-2209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "JOHN",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DE",
"license": "PC-0000439",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS-006161-L",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS-006161-L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962615252",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PSYCHOLOGIST",
"identifier": "PS-006161-L",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013914540003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPCMH",
"identifier": "1962615252",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.