MR. RANDALL M. PARKER LCSW, CADC - NPI 1609221308

Q: What is Randall Parker's NPI number?

The NPI number for Randall Parker is 1609221308. It was assigned to this individual provider in the NPPES registry on May 1, 2016.

Q: What is Randall Parker's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Randall Parker was last updated on May 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Randall M. Parker Lcsw, Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RANDALL M. PARKER LCSW, CADC (NPI 1609221308) is an individual counselor in Idaho Falls, Idaho, licensed in Idaho (LCSW-44631) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609221308

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. RANDALL M. PARKERCredential: LCSW, CADC

Location Address685 1ST STIdaho Falls, ID 83401-4003

Mailing Address685 1st StIdaho Falls, ID 83401-4003 · (208) 681-2208

Phone(208) 932-4493

Sole ProprietorYes

Enumeration DateMay 1, 2016

Last NPPES UpdateMay 20, 20257 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1609221308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in ID · LCSW-44631

Definition

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CADC-11672 (ID)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LCSW-44631 (ID)

685 1ST ST, Idaho Falls, ID 83401

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Secondary Practice Locations 2

Location 11171 N Skyline Dr Apt 3Idaho Falls, ID 83402-1766 · Phone (208) 681-2208

Location 21337 E 17th StIdaho Falls, ID 83404-6235 · Phone (208) 681-7797

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Randall M. Parker Lcsw, Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.