MR. JAMES DARRYL PARKS (NPI# 1114195492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114195492 |
| Entity Type | Individual |
| Full Name | MR. JAMES DARRYL PARKS |
| Credential | FAODP |
| Practice Address |
9605 Grand River Ave Detroit MI 48204-2139 |
| Mailing Address |
9605 Grand River Ave. Detroit MI 48204 |
| Practice Telephone | 3138345930 |
| Practice Fax Number | 3138344541 |
| Mailing Telephone | 3138345930 |
| Mailing Fax Number | 3138344541 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 820198 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 820198 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942496005 | James Robert Parks | Psychiatry & Neurology | 102 E Sunbridge Dr, Suite 1, Fayetteville, AR 72703-2830 | 2007-09-21 |
| 1326068461 | James Harris Parks II | Nurse Anesthetist, Certified Registered | 3201 West Highway 22, Corsicana, TX 75110 | 2006-07-20 |
| 1043294622 | James Frederick Parks | Internal Medicine | 1010 Dawsonville Hwy, Gainesville, GA 30501-2621 | 2005-12-06 |
| 1881016467 | James Parks | Physical Therapy Assistant | 116 Fairview Ave N, Seattle, WA 98109-5360 | 2014-01-15 |
| 1891945457 | James M. Parks | Physician Assistant | 2200 Park Bend Dr., Bldg 2, Ste. 202, Austin, TX 78758-5388 | 2008-09-19 |
| 1184783797 | James R. Parks | Psychiatry & Neurology | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2006-12-08 |
| 1164449633 | James Scott Parks | Emergency Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-17 |
| 1255305470 | James Michael Parks | Internal Medicine | 833 Saint Vincents Dr Ste 300, Pob IIi, Birmingham, AL 35205-1612 | 2006-02-14 |
| 1578546099 | James A Parks | Optometrist | 1110 N El Dorado Pl, Tucson, AZ 85715-4606 | 2005-11-29 |
| Street Address |
9605 GRAND RIVER AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48204-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033251269 | Nardin Park Recovery Center,inc. | Clinic/Center | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2007-02-13 |
| 1053954354 | Geraldine Morehead-johnson | Registered Nurse | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2019-10-21 |
| 1841774205 | Kelly Porter | Counselor | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2018-09-21 |
| 1467945279 | Audrey Hendricks | Counselor | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2018-06-07 |
| 1184143182 | Brittany Shanae Ford | Registered Nurse | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2017-09-12 |
| 1528506649 | Kelli Turner | Licensed Practical Nurse | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2017-02-09 |
| 1134662109 | Ilene Bishaw | Counselor | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2016-11-23 |
| 1871974568 | Tamiko Conner | Counselor | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2015-06-18 |
| 1821485087 | Heather Rajter | Registered Nurse | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2015-04-24 |
| 1902200454 | David Scott | Counselor | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2014-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
| 1023477296 | Lloyd Tender Care LLC | Home Health | 8360 Alpine, Detroit, MI 48204 | 2016-02-17 |
| 1104132703 | Chelseas Home Care | Custodial Care Facility | 12391 Birwood, Detroit, MI 48204 | 2010-08-20 |
| 1407001332 | Wards Holy Management Outreach Church | Point of Service | 12410 Wyoming St Fl 2, Detroit, MI 48204 | 2008-11-19 |
| 1346498250 | Jamila B Boulaalam | Dentist | 9685 Gd River, Detroit, MI 48204 | 2008-09-04 |
| 1245427186 | Hollis Whitcliffe James | Dentist | 10241 Joy Road, Detroit, MI 48204 | 2007-09-25 |
| 1861510679 | Roger James Gregory | Counselor | 9605 West Grand River, Nardin Park Recovery Center, Detroit, MI 48204 | 2007-03-27 |
| 1558464743 | Gerald Jacob Najor | Pharmacist | 7350 Grand River, Fraser Drugs, Detroit, MI 48204 | 2006-09-06 |
| 1255449740 | Deborah Oliver | Dentist | 8325 Grand River, Detroit, MI 48204 | 2006-08-26 |
| 1427148618 | Rite- Way Hardware Inc | Pharmacy | 7350 Grand River, Detroit, MI 48204 | 2006-10-16 |
| Find all providers in zip 48204 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143046 | Comforting Adult Services LLC | Counselor | 14559 Monica St, Detroit, MI 48238-1953 | 2020-01-18 |
| 1235779406 | Jacqueline Yvetter Smith Davis | Counselor | 16609 Archdale St, Detroit, MI 48235-3416 | 2020-01-15 |
| 1033767843 | Shawn Alecia Mccoy | Counselor | 3600 3rd St Apt 1004, Detroit, MI 48201-2337 | 2019-08-27 |
| 1013472745 | Shyfirska Emery | Counselor | 13700 Linnhurst St, Detroit, MI 48205-2885 | 2019-02-06 |
| 1871060368 | Taia Sardinas | Counselor | 7251 E Congress St Apt 307, Detroit, MI 48214-2395 | 2018-11-01 |
| 1639668387 | Debora Lynn Howard | Counselor | 17200 Rowe St, Detroit, MI 48205-3120 | 2018-05-08 |
| 1932698669 | Alexis J Terry | Counselor | 5555 Conner St Ste 2210, Detroit, MI 48213-3496 | 2018-05-08 |
| 1245739614 | Chavela Bryant | Counselor | 18659 Griggs St, Detroit, MI 48221-1907 | 2018-02-12 |
| 1962901835 | Kendra Sibert | Counselor | 5112 Beaubien St, Detroit, MI 48202-4107 | 2018-02-06 |
| 1649787714 | Katrina Frazier | Counselor | 19968 Hubbell St, Detroit, MI 48235-1603 | 2018-01-10 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.