Active NPIIndividual providerSole proprietor

Jenna Park, NCC LPC LPAT ATR-BC

Counselor, Mental Health in Kinnelon, New Jersey

NPI Number1114645876
Practice location
27 Forestdale RD, Kinnelon, NJ 07405-2558
Fax
—
Last updated
June 23, 2024

Jenna Park is a Counselor, Mental Health based in Kinnelon, NJ. Jenna Park practices in Kinnelon, NJ and has the professional credentials of NCC LPC LPAT ATR-BC. The NPI Number for Jenna Park is 1114645876 and holds a License No. 37PC00871800 (NJ). The current practice location address for Jenna Park is 27 Forestdale RD, Kinnelon, NJ 07405-2558 and can be reached out via phone at 973-303-8613.

Provider Profile Details

NPI Number
1114645876
Provider Name
Jenna Park
Credential
NCC LPC LPAT ATR-BC
Provider Entity Type
Individual
Gender
Female
Address
27 Forestdale RD, Kinnelon, NJ 07405-2558
Phone Number
973-303-8613
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
August 18, 2022
Last Update Date
June 23, 2024
Certification Date
June 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
27 Forestdale RD
Kinnelon, NJ 07405-2558
Zip
07405-2558
Phone Number
973-303-8613
Kinnelon, NJ 07405Get directions →

Provider Business Mailing Address Details

Address
1021 Lakeside Dr E
Highland Lakes, NJ 07422-2049
City
Highland Lakes
State
NJ
Zip
07422-2049
Phone Number
973-303-8613

License Information

License Number
37PC00871800
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jenna Park, NCC LPC LPAT ATR-BC?

The NPI number of Jenna Park, NCC LPC LPAT ATR-BC is 1114645876. It was assigned on August 18, 2022 and is currently active in the NPPES registry.

What is the specialty of Jenna Park, NCC LPC LPAT ATR-BC?

Jenna Park, NCC LPC LPAT ATR-BC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC00871800.

Where does Jenna Park, NCC LPC LPAT ATR-BC practice?

The practice location is 27 Forestdale RD, Kinnelon, NJ 07405-2558. The office can be reached at 973-303-8613 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114645876 directly on the NPPES registry website.

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