MEDICARE: DR. JEFFREY PARSONS PHD, LPCC-S, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	104593	KY
2	101YM0800X	Mental Health Counselor	104593	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043697410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY PARSONS PHD, LPCC-S, NCC

Provider Business Mailing Address
First Line	:	PO BOX 802
Second Line	:
City	:	BEREA
State	:	KY
Zip	:	40403-0802
Country	:	US
Telephone Number	:	859-428-7862
Fax Number	:	859-999-7869

Provider Business Practice Location Address
First Line	:	208 KIDD DR
Second Line	:
City	:	BEREA
State	:	KY
Zip	:	40403-9593
Country	:	US
Telephone Number	:	859-428-7862
Fax Number	:	859-999-7869

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2015
Last Update Date	:	04/08/2024

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