Active NPI
Nicole Liane Parra
- Counselor
- Anaheim, CA
National Provider Identifier
1972382885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 11971
- Practice address
- 222 S Harbor Blvd Ste 650
Anaheim, CA 92805-3756 - Phone
- (714) 871-5646
- NPI assigned
- Sep 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 11971 | CA | Primary |
Addresses
Primary practice location
222 S Harbor Blvd Ste 650
Anaheim, CA 92805-3756
Mailing address
222 S Harbor Blvd Ste 650
Anaheim, CA 92805-3756
Phone (714) 871-5646
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Youth Services | Current | Accepting new patients |
Locations
222 S Harbor Blvd
Ste 650
Anaheim, CA 92805
Phone (714) 871-5646
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Anaheim, CA
- NPI 1770617987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1972382885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 S HARBOR BLVD STE 650",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053756",
"telephone_number": "714-871-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S HARBOR BLVD STE 650",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053756",
"telephone_number": "714-871-5646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRA",
"first_name": "NICOLE",
"middle_name": "LIANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-28",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "11971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.