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MICHELE KAY PARK
NPI 1144984162
Counselor - Mental Health in Bloomington, IL

Active since October 26, 2021
108 W MARKET ST, BLOOMINGTON, IL 61701(309) 827-5351 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michele Kay Park NPPES

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

MICHELE KAY PARK (NPI 1144984162) is an individual mental health provider in Bloomington, Illinois and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1144984162
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELE KAY PARK
Location Address108 W MARKET STBloomington, IL 61701-3918
Mailing Address108 W Market StBloomington, IL 61701-3918 · (309) 827-5351
Phone(309) 827-5351
Sole ProprietorYes
Enumeration DateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
✔ NPI 1144984162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
108 W MARKET ST, Bloomington, IL 61701
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Other Providers at the Same Location NPPES 20

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

THERESA KAUTH
Nurse Practitioner (Family)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
TIMOTHY ROBERT WRIGHT
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
BRYNNA A PORCH
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
MR. JOSHUA BECKWITH
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
BRIDGET W MWAURA
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
JOANNE LILLIAN MECHERLE
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
KEVIN PETER CRUTCHER
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
DEAN CONSTANTOPALOS
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351

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 Michele Park's NPI number?

The NPI number for Michele Park is 1144984162. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Michele Park located?

Michele Park practices at 108 W Market St, Bloomington, IL 61701. The listed phone number is (309) 827-5351.

What is Michele 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 Michele Park was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.