JENNA PARK NCC LPC LPAT ATR-BC
NPI 1114645876
Counselor - Mental Health in Kinnelon, NJ

Q: What is Jenna Park's NPI number?

The NPI number for Jenna Park is 1114645876. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Q: What is Jenna Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Park was last updated on June 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 18, 2022

27 FORESTDALE RD, KINNELON, NJ 07405(973) 303-8613 Get Directions Write a Review

NPPES record last updated: June 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2024, Aug 18, 2022 (2 updates tracked since 2022).

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About Jenna Park Ncc Lpc Lpat Atr-bc NPPES

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

JENNA PARK NCC LPC LPAT ATR-BC (NPI 1114645876) is an individual mental health provider in Kinnelon, New Jersey, licensed in New Jersey (37PC00871800) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1114645876

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJENNA PARKCredential: NCC LPC LPAT ATR-BC

Location Address27 FORESTDALE RDKinnelon, NJ 07405-2558

Mailing Address1021 Lakeside Dr EHighland Lakes, NJ 07422-2049 · (973) 303-8613

Phone(973) 303-8613

Sole ProprietorYes

Enumeration DateAugust 18, 2022

Last NPPES UpdateJune 23, 20242 updates tracked since enumeration

NPPES CertifiedJune 23, 2024

✔ NPI 1114645876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NJ · 37PC00871800

27 FORESTDALE RD, Kinnelon, NJ 07405

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANE PARK MS, RD

Dietitian, Registered

27 FORESTDALE RD
KINNELON, NJ 07405

Morris County (973) 879-6811

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 Jenna Park's NPI number?

The NPI number for Jenna Park is 1114645876. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Where is Jenna Park located?

Jenna Park practices at 27 Forestdale Rd, Kinnelon, NJ 07405. The listed phone number is (973) 303-8613.

What is Jenna Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jenna Park was last updated on June 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.