1. Home
  2. Directory
  3. Illinois
  4. Richton Park
  5. Counselor
  6. NPI Profile

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: August 16, 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
Phone(312) 600-3612
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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

MACEO EDMONDS
Social Worker
4137 SAUK TRL STE 148
RICHTON PARK, IL 60471
Cook County (312) 600-3612
PEARLS OF HOPE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4137 SAUK TRL STE 148
RICHTON PARK, IL 60471
Cook County (312) 600-3612

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.

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.