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JUSTIN PARK
NPI 1356867477
Counselor in Prairieville, LA

Active since August 21, 2017
37283 SWAMP RD STE 803, PRAIRIEVILLE, LA 70769(225) 254-9589(222) 208-7267 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 21, 2017 (2 updates tracked since 2017).

About Justin Park NPPES

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

JUSTIN PARK (NPI 1356867477) is an individual counselor in Prairieville, Louisiana and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1356867477
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJUSTIN PARK
Location Address37283 SWAMP RD STE 803Prairieville, LA 70769-3329
Mailing AddressPo Box 640040Pike Road, AL 36064-0040 · (225) 254-9589 · Fax (225) 208-7267
Phone(225) 254-9589
Fax(222) 208-7267
Sole ProprietorYes
Enumeration DateAugust 21, 2017
Last NPPES UpdateOctober 23, 20252 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1356867477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
37283 SWAMP RD STE 803, Prairieville, LA 70769
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

GULF COAST BEHAVIORAL HEALTH, LLC
Substance Abuse Rehabilitation Facility
37283 SWAMP RD STE 803
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 254-9589
KARL WINEGAR LCSW
Social Worker (Clinical)
37283 SWAMP RD STE 803
PRAIRIEVILLE, LA 70769
Ascension Parish (208) 821-1032
JESSICA EZEJIMOFOR PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
37283 SWAMP RD STE 803
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 254-9589
AARON ANDERSON CSW
Social Worker
37283 SWAMP RD STE 803
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 254-9589

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 Justin Park's NPI number?

The NPI number for Justin Park is 1356867477. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Justin Park located?

Justin Park practices at 37283 Swamp Rd Ste 803, Prairieville, LA 70769. The listed phone number is (225) 254-9589.

What is Justin Park's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Justin Park was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.