Provider Demographics
| NPI: | 1376911008 |
|---|---|
| Name: | PARSONS COUNSELING, LLC |
| Entity Type: | Organization |
| Organization Name: | PARSONS COUNSELING, LLC |
| Other - Org Name: | PARSONS COUNSELING & PLAY THERAPY CENTER |
| Other - Org Type: | Doing Business As |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | LISA |
| Authorized Official - Middle Name: | ROSEANNE |
| Authorized Official - Last Name: | PARSONS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MED, LPCC-S, RPT-S |
| Authorized Official - Phone: | 859-985-7862 |
| Mailing Address - Street 1: | PO BOX 802 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BEREA |
| Mailing Address - State: | KY |
| Mailing Address - Zip Code: | 40403-0802 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 859-428-7862 |
| Mailing Address - Fax: | 859-999-7869 |
| Practice Address - Street 1: | 208 KIDD DR |
| Practice Address - Street 2: | |
| Practice Address - City: | BEREA |
| Practice Address - State: | KY |
| Practice Address - Zip Code: | 40403-9593 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 859-428-7862 |
| Practice Address - Fax: | 859-999-7869 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2015-09-11 |
| Last Update Date: | 2023-09-12 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
| No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
| No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 225XM0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Mental Health | Group - Multi-Specialty |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 251S00000X | Agencies | Community/Behavioral Health | ||
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | Group - Multi-Specialty |
| No | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | Group - Multi-Specialty |
| No | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| KY | 7100484060 | Medicaid |
