Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Parker, LCAS-A, LCMHC-A

Individual provider Mental Health Counselor · NPI 1518574961

Justin Parker, LCAS-A, LCMHC-A is a Mental Health Counselor in Kitty Hawk, North Carolina. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
Specialties on file
2

Practice location Address checks out

3512 Virginia Dare Trl N
Kitty Hawk, NC 27949-4079
Phone: (252) 242-3900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS-26586 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence A15964 (NC)

Record details

NPI number1518574961
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS-A , LCMHC-A
Sole proprietorYes
NPI enumeratedSeptember 29, 2020
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kitty Hawk