RICHARD PARK (NPI# 1306369160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306369160 |
| Entity Type | Individual |
| Full Name | RICHARD PARK |
| Credential | LMFT |
| Practice Address |
1136 S Delano Ct W Ste B201 Chicago IL 60605 |
| Mailing Address |
1 Illinois Blvd Hoffman Estates IL 60169-3314 |
| Practice Telephone | 8472204390 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Illinois Blvd, Hoffman Estates, IL 60169 | 8472854516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518525054 | Richard Park | Dentist | 6942 Lindner Dr, Franklin, WI 53132-8904 | 2019-05-30 |
| 1407125164 | Richard Kyungho Park | Otolaryngology | 331 Skidder Trl, Truckee, CA 96161-3931 | 2011-12-23 |
| 1154349132 | Richard Park | Family Medicine | 703 W Martin, Ms 49-2, San Antonio, TX 78207-3110 | 2006-07-17 |
| 1982694410 | Richard Eldon Park | Anesthesiology | 565 Centre View Blvd, Crestview Hills, KY 41017-3444 | 2005-10-26 |
| 1306843669 | Richard I. Park | Dentist | 5415 Sw Westgate Dr, Suite 207, Portland, OR 97221-2409 | 2005-07-01 |
| 1174718134 | Richard Park | Internal Medicine | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 | 2007-09-12 |
| 1295813053 | Richard Allen Park | Hospitalist | 2500 Merced Street, San Leandro, CA 94577-4201 | 2006-11-01 |
| 1568579027 | Richard Park | Internal Medicine | 87 N Airlite St, Suite #100, Elgin, IL 60123-4988 | 2006-08-23 |
| 1871517292 | Richard L. Park | Social Worker | 1921 E Yandell Dr, El Paso, TX 79903-3416 | 2006-07-27 |
| 1114985298 | Richard Park | Emergency Medicine | 175 Community Dr, Great Neck, NY 11021-5502 | 2006-05-01 |
| Street Address |
1136 S DELANO CT W STE B201 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417254004 | Jalissa Shelby | Counselor | 1136 S Delano Ct W Ste B201, Chicago, IL 60605-3734 | 2011-02-17 |
| 1699376343 | Jessica Roberson | Social Worker | 1136 S Delano Ct W Ste B201, Chicago, IL 60605-3734 | 2020-11-07 |
| 1841801743 | Joy M Grange | Counselor | 1136 S Delano Ct W Ste B201, Chicago, IL 60605-3734 | 2020-08-13 |
| 1326658758 | Life Aligned Counseling and Consulting | Social Worker | 1136 S Delano Ct W Ste B201, Chicago, IL 60605-3734 | 2020-07-31 |
| 1538777420 | Tiarra Faulkner-mckinney | Counselor | 1136 S Delano Ct W Ste B201, Chicago, IL 60605-3734 | 2020-07-16 |
| 1144843038 | Your Healing Space Therapy LLC | Counselor | 1136 S Delano Ct W Ste B201, Chicago, IL 60605-3734 | 2020-05-26 |
| 1982226544 | Phoenix Rising Counseling and Guidance, LLC | Counselor | 1136 S Delano Ct W Ste B201, Chicago, IL 60605-3734 | 2020-05-17 |
| 1164054003 | Angela Nguyen | Marriage & Family Therapist | 1136 S Delano Ct W Ste B201, Chicago, IL 60605-3734 | 2020-02-09 |
| 1861024788 | Carrie Jeanine Wallace-onifade | Social Worker | 1136 S Delano Ct W Ste B201, Chicago, IL 60605-3734 | 2020-02-08 |
| 1548891351 | Holistically Divine Counseling | Counselor | 1136 S Delano Ct W Ste B201, Chicago, IL 60605-3734 | 2020-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074219 | Kheri Dunkins | Counselor | 1136 S Delano Ct, Suite B201, Chicago, IL 60605 | 2020-08-22 |
| 1134739196 | Erin Odonnell | Physical Therapist | 1255 Soputh State Street, Unit 6, Chicago, IL 60605 | 2020-08-05 |
| 1225658032 | Rita Haber | Speech-Language Pathologist | 1255 S Michigan Avenue, 207, Chicago, IL 60605 | 2020-04-21 |
| 1285288753 | My Travel Guy, Inc. | Transportation Broker | 1300 S. Wabash Ave. Suite # 205, Chicago, IL 60605 | 2019-08-01 |
| 1699230417 | Iesha Marsh | Home Health Aide | 820 S Park Terrance, Apt813, Chicago, IL 60605 | 2019-02-06 |
| 1538633482 | Sara Miller | Counselor | 401 S. Lasalle St. Suite 800h, Chicago, IL 60605 | 2019-01-14 |
| 1992203798 | Lorna Johnson | Nurse Practitioner | 1740 W Taylor St., 764e Uih, Mc 509, Chicago, IL 60605 | 2018-01-26 |
| 1790226207 | Undine and Associates | Social Worker | 410 S. Michigan Ave, Ste 943, Chicago, IL 60605 | 2017-03-16 |
| 1659811529 | Paul Parpart | Occupational Therapist | 1235 S Prairie, Chicago, IL 60605 | 2017-02-27 |
| 1144679879 | Osco Drug | Ambulance | 1529 S State St 6e, Chicago, IL 60605 | 2016-06-03 |
| Find all providers in zip 60605 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112595 | Shira Galston LLC | Marriage & Family Therapist | 2941 W Lunt Ave, Chicago, IL 60645-2919 | 2020-10-26 |
| 1689272304 | Victoria Annette Barrows | Marriage & Family Therapist | 3036 W Irving Park Rd Fl 2, Chicago, IL 60618-3539 | 2020-10-14 |
| 1326646449 | Stephen Patrick Stewart | Marriage & Family Therapist | 4539 S Indiana Ave Apt 3, Chicago, IL 60653-5244 | 2020-10-12 |
| 1083220107 | Michaela Margaret Choy | Marriage & Family Therapist | 1165 N Clark St Ste 411, Chicago, IL 60610-7473 | 2020-09-23 |
| 1376158220 | Janea N Vinson | Marriage & Family Therapist | 501 E 32nd St Apt 908, Chicago, IL 60616-4076 | 2020-09-08 |
| 1902415854 | Enriched Living Counseling LLC | Marriage & Family Therapist | 1546 W Sherwin Ave Apt 1s, Chicago, IL 60626-2138 | 2020-07-27 |
| 1366064990 | Danielle Lauren Boisvert | Marriage & Family Therapist | 20 N Wacker Dr Ste 1442, Chicago, IL 60606-2906 | 2020-05-18 |
| 1639705114 | Michelle Ahmed | Marriage & Family Therapist | 5100 N Ravenswood Ave Ste 219, Chicago, IL 60640-1710 | 2020-03-17 |
| 1639700685 | Myra Clementine Castaneda | Marriage & Family Therapist | 5100 N Ravenswood Ave Ste 209, Chicago, IL 60640-1710 | 2020-01-29 |
| 1487295481 | Teresa D'astice | Marriage & Family Therapist | 7239 W Berwyn Ave, Chicago, IL 60656-1840 | 2019-10-01 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.