MEDICARE: HALLEY JO PARKER LPC

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	101YM0800X	Mental Health Counselor	LPC.0017740	CO
2	172V00000X	Community Health Worker
3	101YP2500X	Professional Counselor	LPC.0017740	CO

General Provider Information

NPI Number	:	1982011938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALLEY JO PARKER LPC

Provider Business Mailing Address
First Line	:	221 E 29TH ST STE 201
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-2746
Country	:	US
Telephone Number	:	970-310-3406
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 E 29TH ST STE 201
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-2746
Country	:	US
Telephone Number	:	970-310-3406
Fax Number	:

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

Provider Enumeration Date	:	07/22/2014
Last Update Date	:	06/18/2025

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Directions to “ HALLEY JO PARKER LPC” Practice Location

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