MRS. AMANDA PARK LPC
NPI 1104313899
Counselor - Professional in Chesapeake, VA

Q: What is Amanda Park's NPI number?

The NPI number for Amanda Park is 1104313899. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Q: What is Amanda Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Park was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2018

648 INDEPENDENCE PKWY STE 400, CHESAPEAKE, VA 23320(757) 420-0530 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 9, 2021, Apr 18, 2018 (2 updates tracked since 2018).

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About Mrs. Amanda Park Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMANDA PARK LPC (NPI 1104313899) is an individual professional provider in Chesapeake, Virginia, licensed in Virginia (0701007584) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1104313899

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. AMANDA PARKCredential: LPC

Location Address648 INDEPENDENCE PKWY STE 400Chesapeake, VA 23320-5207

Mailing Address833 Creekside CresChesapeake, VA 23320-9263 · (757) 202-5291

Phone(757) 420-0530

Sole ProprietorYes

Enumeration DateApril 18, 2018

Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration

NPPES CertifiedNovember 9, 2021

✔ NPI 1104313899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701007584

648 INDEPENDENCE PKWY STE 400, Chesapeake, VA 23320

Open in Google Maps ↗

Other Identifiers 1

Other0812000791VA · Csotp

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Park's NPI number?

The NPI number for Amanda Park is 1104313899. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Where is Amanda Park located?

Amanda Park practices at 648 Independence Pkwy Ste 400, Chesapeake, VA 23320. The listed phone number is (757) 420-0530.

What is Amanda Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Amanda Park was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.