JENNIFER PARK (NPI# 1548670805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548670805 |
| Entity Type | Individual |
| Full Name | JENNIFER PARK |
| Credential | LMFT |
| Practice Address |
1151 Dove St Ste 105 Newport Beach CA 92660-2805 |
| Practice Telephone | (949) 891-5336 |
| Mailing Telephone | (949) 891-5336 |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 97640 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Newport Ctr Dr Ste 206, Newport Beach, CA 926607503 | 9498915336 | |
| 212 E Chapman Ave Ste A5, Orange, CA 928661506 | 9498915336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757455 | Jennifer Park | Durable Medical Equipment & Medical Supplies | 1840 Ventura Blvd, Camarillo, CA 93010-7848 | 2019-12-16 |
| 1174095210 | Jennifer Park | Counselor | 20 S 36th St Ste 201, Camp Hill, PA 17011-4355 | 2018-12-31 |
| 1538510599 | Jennifer Park | Dentist | 5750 Dow Ave Apt 241, Alexandria, VA 22304-4071 | 2016-06-30 |
| 1568880318 | Jennifer Park | Ophthalmology | 1855 W Taylor St Ste 3.138, Chicago, IL 60612 | 2014-03-30 |
| 1427392760 | Jennifer Alane Park | Social Worker | 7000 Oak Forest Ln, Bethesda, MD 20817-2124 | 2012-11-26 |
| 1063402147 | Jennifer M Park | Psychiatry & Neurology | 1355 Beverly Rd, Suite 225, Mc Lean, VA 22101-3651 | 2005-10-28 |
| 1063024552 | Jennifer Park | Pharmacist | 520 Convery Blvd, Perth Amboy, NJ 08861 | 2020-08-18 |
| 1740817642 | Jennifer Eun Kyong Park | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave # Chs27139, Los Angeles, CA 90095-3075 | 2020-03-23 |
| 1417594672 | Jennifer Park | Pharmacist | 1650 Decoto Rd, Union City, CA 94587-3544 | 2019-12-06 |
| 1083260558 | Jennifer Park | Social Worker | 323 W Mulberry St, Watseka, IL 60970-1568 | 2019-08-12 |
| Street Address |
1151 DOVE ST STE 105 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578609814 | Elizabeth Shand Enneis | Marriage & Family Therapist | 1151 Dove St Ste 105, Newport Beach, CA 92660-2805 | 2007-01-30 |
| 1912528514 | Melissa Wells Fedoryk | Marriage & Family Therapist | 1151 Dove St Ste 105, Newport Beach, CA 92660-2805 | 2020-05-05 |
| 1326690447 | Jocelyn Garcia | Behavior Technician | 1151 Dove St Ste 105, Newport Beach, CA 92660-2805 | 2019-07-09 |
| 1881254860 | Insight Counseling | Psychologist | 1151 Dove St Ste 105, Newport Beach, CA 92660-2805 | 2019-06-20 |
| 1740845957 | Annessa Leeann Brock | Behavioral Analyst | 1151 Dove St Ste 105, Newport Beach, CA 92660-2805 | 2019-05-02 |
| 1962628420 | Janet Lee Whitney | Marriage & Family Therapist | 1151 Dove St Ste 105, Newport Beach, CA 92660-2805 | 2007-04-17 |
| 1528190824 | Dorothy Marie Miyaoka | Marriage & Family Therapist | 1151 Dove St Ste 105, Newport Beach, CA 92660-2805 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| 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 |
|---|---|---|---|---|
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1326677238 | Jacqueline Hirk, Marriage & Family Counseling Inc | Marriage & Family Therapist | 1400 Quail St Ste 150, Newport Beach, CA 92660-2759 | 2020-04-02 |
| 1912535907 | Hafner and Associates Inc. | Marriage & Family Therapist | 4100 Campus Dr Ste 200, Newport Beach, CA 92660-1931 | 2020-03-27 |
| 1508493578 | Farah Ragan | Marriage & Family Therapist | 1000 Quail St Ste 160, Newport Beach, CA 92660-2721 | 2020-03-26 |
| 1336774470 | Ace Individual and Family Therapy | Marriage & Family Therapist | 5000 Birch Street, West Tower, Suite 306, Newport Beach, CA 92660-2127 | 2020-03-09 |
| 1376185868 | Lisa Marie Swedlow | Marriage & Family Therapist | 208 Lugonia St Apt B, Newport Beach, CA 92663-1852 | 2019-10-16 |
| 1962053660 | Barbi Pecenco | Marriage & Family Therapist | 901 Dover Dr Ste 240, Newport Beach, CA 92660-5528 | 2019-09-24 |
| 1467015248 | April Twenhafel | Marriage & Family Therapist | 1601 Dove St Ste 105, Newport Beach, CA 92660-2410 | 2019-04-17 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1801351820 | The Eft Center | Marriage & Family Therapist | 1000 Quail St Ste 240, Newport Beach, CA 92660-2770 | 2019-02-04 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on JENNIFER PARK.
| 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.