Basic Information
Provider Information
NPI: 1942749163
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARKER
FirstName: APRIL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 220685
Address2:  
City: CHANTILLY
State: VA
PostalCode: 201536685
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 21641 RIDGETOP CIR STE 210
Address2:  
City: STERLING
State: VA
PostalCode: 201666597
CountryCode: US
TelephoneNumber: 7037715155
FaxNumber: 5712583032
Other Information
ProviderEnumerationDate: 02/21/2017
LastUpdateDate: 12/07/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X6650CAN Behavioral Health & Social Service ProvidersCounselorProfessional
101YM0800X0704013329VAN Behavioral Health & Social Service ProvidersCounselorMental Health
106H00000X0717001633VAN Behavioral Health & Social Service ProvidersMarriage & Family Therapist 
106H00000X93774CAN Behavioral Health & Social Service ProvidersMarriage & Family Therapist 
106H00000X0730000577VAN Behavioral Health & Social Service ProvidersMarriage & Family Therapist 
101YP2500X0701011053VAY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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