Individual provider Active NPI

Lawrence Joseph Parker, MSW

  • Mental Health Counselor
  • Nespelem, WA
National Provider Identifier
1982954756
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SC60210785 Issued in WA
Practice address
29 Sanpioil St
Nespelem, WA 99155-0150
Phone
(509) 634-2610
Fax
(509) 634-2781
NPI assigned
Sep 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SC60210785 WA Primary

Addresses

Primary practice location

29 Sanpioil St
Nespelem, WA 99155-0150

Mailing address

29 Sanpioil St
Nespelem, WA 99155-0150
Phone (509) 634-2610

Other identifiers 1

IdentifierTypeStateIssuer
1044912MedicaidWA

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

State licenses

LicenseStateTypeSpecialty
SC60210785WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1982954756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SANPIOIL ST",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550150",
            "telephone_number": "509-634-2610",
            "fax_number": "509-634-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 SANPIOIL ST",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550150",
            "telephone_number": "509-634-2610",
            "fax_number": "509-634-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LAWRENCE",
        "middle_name": "JOSEPH",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SC60210785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1044912",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nespelem, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.