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JULIANNE PARK MS, LMFT
NPI 1225678519
Counselor - Mental Health in Redmond, WA

Active since January 14, 2020Opted out of Medicare · through Jan 1, 2028
16771 NE 80TH ST STE 108, REDMOND, WA 98052(425) 508-2557 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2023, Jan 14, 2020 (2 updates tracked since 2020).

About Julianne Park Ms, Lmft NPPES

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

JULIANNE PARK MS, LMFT (NPI 1225678519) is an individual mental health provider in Redmond, Washington, licensed in Washington (MG61187412) and active in the NPI registry since January 2020. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1225678519
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJULIANNE PARKCredential: MS, LMFT
Location Address16771 NE 80TH ST STE 108Redmond, WA 98052-3959
Mailing Address16771 Ne 80th St Ste 108Redmond, WA 98052-3959
Phone(425) 508-2557
Sole ProprietorNo
Enumeration DateJanuary 14, 2020
Last NPPES UpdateSeptember 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2023
✔ NPI 1225678519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · MG61187412
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
16771 NE 80TH ST STE 108, Redmond, WA 98052
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Julianne Park Ms, Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

ABA NDUOM MD PLLC
Psychiatry & Neurology (Psychiatry)
16771 NE 80TH ST STE 108
REDMOND, WA 98052
King County (425) 414-8799
MRS. JACQUELINE NIENABER LMHC
Counselor
16771 NE 80TH ST STE 108
REDMOND, WA 98052
King County (425) 445-8260
NANA ABA NDUOM MD
Psychiatry & Neurology (Psychiatry)
16771 NE 80TH ST STE 108
REDMOND, WA 98052
King County (425) 414-8799

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 Julianne Park's NPI number?

The NPI number for Julianne Park is 1225678519. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Where is Julianne Park located?

Julianne Park practices at 16771 NE 80th St Ste 108, Redmond, WA 98052. The listed phone number is (425) 508-2557.

What is Julianne Park's specialty?

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

Is Julianne Park enrolled in Medicare?

No. Julianne Park has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Julianne Park was last updated on September 27, 2023. 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.