JACOB PARKS (NPI# 1760751861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760751861 |
| Entity Type | Individual |
| Full Name | JACOB PARKS |
| Practice Address |
11335 Sunset Hills Rd Reston VA 20190-5205 |
| Mailing Address |
Po Box 1048 Great Falls VA 22066-9048 |
| Practice Telephone | 7033487857 |
| Practice Fax Number | 7034444308 |
| Mailing Telephone | 7033487857 |
| Mailing Fax Number | 7034444308 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 224Y00000X | Clinical Exercise Physiologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881909398 | Jacob Michael Parks | Counselor | 100 E Central Texas Expy Ste 100, Killeen, TX 76541-8509 | 2010-08-10 |
| 1073114906 | Jacob A Parks | Student in an Organized Health Care Education/Training Program | 4475 S Eastern Ave, Las Vegas, NV 89119-7826 | 2020-11-06 |
| Street Address |
11335 SUNSET HILLS RD |
| City | RESTON |
| State | VA |
| Zip Code | 20190-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083992721 | Paige Allison Einstein | Dietitian, Registered | 11335 Sunset Hills Rd, Reston, VA 20190-5205 | 2011-07-29 |
| 1174860480 | Healthmso of Va LLC | Clinic/Center | 11335 Sunset Hills Rd, Reston, VA 20190-5205 | 2013-01-07 |
| 1932478039 | Alison Sonak | Dietitian, Registered | 11335 Sunset Hills Rd, Reston, VA 20190-5205 | 2011-12-19 |
| 1740560135 | Quantumbariatrics LLC | Surgery | 11335 Sunset Hills Rd, Reston, VA 20190-5205 | 2011-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| 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 |
|---|---|---|---|---|
| 1306354386 | Mary Rhea Silva | Counselor | 11260 Roger Bacon Dr Ste 206, Reston, VA 20190-5252 | 2018-01-12 |
| 1457757171 | Owusu Afiriyie | Counselor | 2023 Golf Course Dr, Reston, VA 20191-3837 | 2014-11-06 |
| 1750714382 | Restorative Therapeutic Services | Counselor | 12020 Sunrise Valley Dr Ste 100, Reston, VA 20191-3429 | 2013-08-19 |
| 1245353754 | Nancy J Ashley | Counselor | 11717 Bowman Green Dr, Reston, VA 20190-3501 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790229 | Candice Cornelio | Counselor | 1904 Tolbert Ter Apt 202, Chester, VA 23836-2824 | 2020-11-03 |
| 1306443619 | Helianthus Therapy Services, LLC | Counselor | 767 Madison Rd Ste 112-114, Culpeper, VA 22701-3379 | 2020-10-08 |
| 1477160471 | Sarah Chun | Counselor | 950 N Washington St # 322, Alexandria, VA 22314-1534 | 2020-09-24 |
| 1659983484 | A. Lawrence Christian Counseling LLC | Counselor | 8213 Sudley Rd Ste 202, Manassas, VA 20109-3507 | 2020-08-22 |
| 1578173993 | Marjorie Denise Handy | Counselor | 108 Joyce Rd, Bassett, VA 24055-6102 | 2020-08-01 |
| 1073122719 | David Wooden | Counselor | 4201 Wilson Blvd # 300, Arlington, VA 22203-4417 | 2020-07-29 |
| 1376152678 | Gwendolyn Maurice | Counselor | 739 Cherry Hill Rd, Heathsville, VA 22473-2648 | 2020-07-23 |
| 1922624154 | Cedric Wilson | Counselor | 2616 Stonegate Dr, Winchester, VA 22601-3482 | 2020-06-23 |
| 1154946291 | Chloe Fulcher Morrissett | Counselor | 8389 Reagan Dr, King George, VA 22485-7149 | 2020-06-15 |
| 1184248130 | Thomas Lafayette Bateman IIi | Counselor | 11025 Greenline Ct, Mechanicsville, VA 23116-5855 | 2020-06-05 |
| Find all providers with the same taxonomy | ||||
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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.