Healthcare Provider Details

I. General information

NPI: 1699690750
Provider Name (Legal Business Name): JARED PARSONS LPC-T
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 COMMERCIAL ST STE 5
EMPORIA KS
66801-4080
US

IV. Provider business mailing address

417 COMMERCIAL ST STE 5
EMPORIA KS
66801-4080
US

V. Phone/Fax

Practice location:
  • Phone: 620-208-7990
  • Fax: 316-217-9066
Mailing address:
  • Phone: 620-208-7990
  • Fax: 316-217-9066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05227T
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: