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JESSIE JEAN PARK LPC-MH
NPI 1164547865
Counselor - Mental Health in Sioux Falls, SD

Active since March 20, 2007
5421 W 41ST ST, SIOUX FALLS, SD 57106(605) 421-8749 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessie Jean Park Lpc-mh NPPES

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

JESSIE JEAN PARK LPC-MH (NPI 1164547865) is an individual mental health provider in Sioux Falls, South Dakota, licensed in South Dakota (LPCMH30853) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1164547865
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSIE JEAN PARKCredential: LPC-MH
Location Address5421 W 41ST STSioux Falls, SD 57106-1300
Mailing Address5421 W 41st StSioux Falls, SD 57106-1300 · (605) 421-8749
Phone(605) 421-8749
Sole ProprietorYes
Enumeration DateMarch 20, 2007
Last NPPES UpdateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
✔ NPI 1164547865 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 SD · LPCMH30853
5421 W 41ST ST, Sioux Falls, SD 57106
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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 Jessie Park's NPI number?

The NPI number for Jessie Park is 1164547865. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Jessie Park located?

Jessie Park practices at 5421 W 41st St, Sioux Falls, SD 57106. The listed phone number is (605) 421-8749.

What is Jessie 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 Jessie Park was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.