PEARL PARKS LCPC
NPI 1144624768
Counselor - Professional in Richton Park, IL

Active since October 09, 2014PECOS Enrolled
4137 SAUK TRL STE 148, RICHTON PARK, IL 60471(312) 600-3612 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pearl Parks Lcpc NPPES

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

PEARL PARKS LCPC (NPI 1144624768) is an individual professional provider in Richton Park, Illinois, licensed in Illinois (180.008970) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1144624768
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePEARL PARKSCredential: LCPC
Location Address4137 SAUK TRL STE 148Richton Park, IL 60471-1253
Mailing Address21333 Carlton StCrest Hill, IL 60403-1178 · (805) 603-4310
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 9, 2014
Last NPPES UpdateApril 3, 2019
✔ NPI 1144624768 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 IL · 180.008970
4137 SAUK TRL STE 148, Richton Park, IL 60471

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pearl Parks Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678052834
PECOS Enrollment IDI20260209000667
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Pearl Parks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Mental Health (Including Community Mental Health Center)
4137 SAUK TRL STE 148
Richton Park, IL 60471
  • Reassigned Medicare billing, Illinois enrollment
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Illinois enrollment
  • 581 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

Social Worker
4137 SAUK TRL STE 148
RICHTON PARK, IL 60471
Clinic/Center (Mental Health (Including Community Mental Health Center))
4137 SAUK TRL STE 148
RICHTON PARK, IL 60471

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 Pearl Parks's NPI number?

The NPI number for Pearl Parks is 1144624768. It was assigned to this individual provider in the NPPES registry on October 9, 2014.

Where is Pearl Parks located?

Pearl Parks practices at 4137 Sauk Trl Ste 148, Richton Park, IL 60471. The listed phone number is (312) 600-3612.

What is Pearl Parks's specialty?

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

Is Pearl Parks enrolled in Medicare?

Yes. Pearl Parks is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pearl Parks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pearl Parks reassigns Medicare benefits to 2 organizations: Pearls Of Hope LLC (Richton Park, IL) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pearl Parks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pearl Parks accept?

Health plans from Oscar Health list Pearl Parks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pearl Parks was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.