Individual provider Active NPI

Brian Leonard Parker, M.S

  • Professional Counselor
  • St George, UT
National Provider Identifier
1962686105
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4929978-3902 Issued in UT
Practice address
1173 S 250 W
Suiet 202B
St George, UT 84770-6392
Phone
(435) 635-6014
NPI assigned
Dec 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4929978-3902 UT Primary

Addresses

Primary practice location

1173 S 250 W
Suiet 202B
St George, UT 84770-6392

Mailing address

1173 S 250 W
Suiet 202B
St George, UT 84770-6392
Phone (435) 635-6014

Other names 1

  • Mr. Brian Leonard Parker Professional 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
Master of Science

State licenses

LicenseStateTypeSpecialty
4929978-3902UTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Liahona Academy for Youth, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1962686105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 S 250 W",
            "address_2": "SUIET 202B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706392",
            "telephone_number": "435-635-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 S 250 W",
            "address_2": "SUIET 202B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706392",
            "telephone_number": "435-635-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BRIAN",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "4929978-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "PARKER",
            "middle_name": "LEONARD",
            "prefix": "MR.",
            "credential": "MS, MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.