JAMILIA NICOLE PARKER (MFT) – Marriage & Family Therapist, NPI 1104697259

JAMILIA NICOLE PARKER (MFT) is a healthcare provider. based in Pittsburgh, Pennsylvania. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MFT. The NPI Number for JAMILIA NICOLE PARKER (MFT) is 1104697259

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JAMILIA NICOLE PARKER (MFT)
NPI
1104697259
Phone
(215) 839-6096
Address
239 4TH AVE STE 1401
Enumeration Date
9 January 2024
Deactivation Date
26 September 2025
Reactivation Date
13 November 2025
Last Update Date
13 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9732640023
Graduation Year
2020 (6 years ago)
PAC ID
0244768000
Group Practice PAC ID
2264791268
Professional Enrollment ID
I20250108001453
Address ID
PA19076XXXXPRXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:2State licenses:0Digital endpointsOther names

130 MARRIAGE AND FAMILY THERAPIST in PA

Provider Addresses for JAMILIA NICOLE PARKER (MFT)

  • 239 4TH AVE STE 1401

    PITTSBURGH, PA 152221715

    Phone: (215) 839-6096

    Type: Mailing

  • 850 W LANCASTER AVE STE 2

    BRYN MAWR, PA 190103220

    Phone: (610) 520-1510

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250108001453IMarriage And Family TherapistPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15222)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264791268View full group profile
NameSpecialtyState
Clinical PsychologistPA
Clinical PsychologistPA
-PA
Clinical Social WorkerCO
Marriage And Family TherapistPA
Mental Health CounselorFL
Marriage And Family TherapistPA
Clinical Social WorkerPA
Clinical PsychologistPA
-PA

Reviews

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Frequently asked questions

Does JAMILIA NICOLE PARKER (MFT) have a public NPI I can cite?
Public records show JAMILIA NICOLE PARKER (MFT) under NPI 1104697259.
Should I treat JAMILIA NICOLE PARKER (MFT) as an active provider?
Patients and plans typically see JAMILIA NICOLE PARKER (MFT) as active in the national extract.
What services align with JAMILIA NICOLE PARKER (MFT)'s listing?
JAMILIA NICOLE PARKER (MFT)'s public classification highlights Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to JAMILIA NICOLE PARKER (MFT)?
JAMILIA NICOLE PARKER (MFT) shows a connection to Pittsburgh, Pennsylvania in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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