Individual provider Active NPI

Deborah Ann Parker, CPSS

  • Counselor
  • Salem, OR
National Provider Identifier
1972808269
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0000 Issued in MI
Practice address
5585 Woodside Dr SE
Apt 67
Salem, OR 97306-9801
Phone
(971) 218-3500
NPI assigned
Jan 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0000 MI Primary

Addresses

Primary practice location

5585 Woodside Dr SE
Apt 67
Salem, OR 97306-9801

Mailing address

5585 Woodside Dr. SE
Apt 67
Salem, OR 97306
Phone (971) 218-3500

Other identifiers 1

IdentifierTypeStateIssuer
P626139067577OtherMIDRIVER'S LICENSE #

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

State licenses

LicenseStateTypeSpecialty
0000MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1972808269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5585 WOODSIDE DR. SE",
            "address_2": "APT 67",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97306",
            "telephone_number": "971-218-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 WOODSIDE DR SE",
            "address_2": "APT 67",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069801",
            "telephone_number": "971-218-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "CPSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE #",
            "identifier": "P626139067577",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.