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SOPHIA PARK
NPI 1427693357
Marriage & Family Therapist in Media, PA

Active since November 14, 2019PECOS EnrolledAccepts Medicare Assignment
600 N JACKSON ST STE 300, MEDIA, PA 19063(610) 808-9923 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sophia Park NPPES

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

SOPHIA PARK (NPI 1427693357) is an individual marriage & family therapist in Media, Pennsylvania, licensed in Pennsylvania (000862) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1427693357
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSOPHIA PARK
Location Address600 N JACKSON ST STE 300Media, PA 19063-2530
Mailing Address600 N Jackson St Ste 300Media, PA 19063-2530 · (610) 808-9923
Phone(610) 808-9923
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 14, 2019
✔ NPI 1427693357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in PA · 000862
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
600 N JACKSON ST STE 300, Media, PA 19063
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Other Identifiers 1

OtherLICENSEPA · 000862

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sophia Park is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214386929
PECOS Enrollment IDI20231206003477
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.

Medicare Billing Reassignment

Medicare enrollment records show Sophia Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Counseling LLC
267 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 225 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

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

TYLER BURT
Counselor (Professional)
600 N JACKSON ST STE 300
MEDIA, PA 19063
Delaware County (855) 675-4010
AYANA STARKS
Counselor (Professional)
600 N JACKSON ST STE 300
MEDIA, PA 19063
Delaware County (855) 284-7483
GUILHEM COMBET
Counselor (Professional)
600 N JACKSON ST STE 300
MEDIA, PA 19063
Delaware County (855) 284-7483
LYNN ANNE FALK
Counselor (Professional)
600 N JACKSON ST STE 300
MEDIA, PA 19063
Delaware County (855) 284-7483
KADIJATU BARRIE
Counselor (Professional)
600 N JACKSON ST STE 300
MEDIA, PA 19063
Delaware County (855) 284-7483
H&R CONSULTATION PARTNERS
Social Worker (Clinical)
600 N JACKSON ST STE 300
MEDIA, PA 19063
Delaware County (703) 314-0678
MICHAEL VENEZIALE LPC
Counselor (Professional)
600 N JACKSON ST STE 300
MEDIA, PA 19063
Delaware County (215) 399-9764
MR. TODD ALEXANDER BOWSER MA
Counselor (Professional)
600 N JACKSON ST STE 300
MEDIA, PA 19063
Delaware County (610) 557-1991

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 Sophia Park's NPI number?

The NPI number for Sophia Park is 1427693357. It was assigned to this individual provider in the NPPES registry on November 14, 2019.

Where is Sophia Park located?

Sophia Park practices at 600 N Jackson St Ste 300, Media, PA 19063. The listed phone number is (610) 808-9923.

What is Sophia Park's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Sophia Park enrolled in Medicare?

Yes. Sophia Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sophia Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Park reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophia Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sophia Park was last updated on November 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.