JEONG EUN PARK LMFT - NPI 1447963798 - Marriage & Family Therapist in Minneapolis, MN

Q: What is Jeong Park's NPI number?

The NPI number for Jeong Park is 1447963798. It was assigned to this individual provider in the NPPES registry on January 2, 2023. The provider is also known as Kimberia Joy Sherva.

Q: What is Jeong Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeong Park was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

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About Jeong Eun Park Lmft NPPES

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

JEONG EUN PARK LMFT (NPI 1447963798) is an individual marriage & family therapist in Minneapolis, Minnesota, licensed in Minnesota (4203) and active in the NPI registry since January 2023. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447963798

Entity TypeIndividual

Primary Taxonomy106H00000X

Provider Legal NameJEONG EUN PARKCredential: LMFT

Location Address730 E 38TH ST STE 101Minneapolis, MN 55407-5218

Mailing Address730 E 38th St Ste 101Minneapolis, MN 55407-5218 · (612) 208-3208

Phone(612) 208-3208

Sole ProprietorYes

Enumeration DateJanuary 2, 2023

Last NPPES UpdateFebruary 20, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2025

✔ NPI 1447963798 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 MN · 4203

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.

730 E 38TH ST STE 101, Minneapolis, MN 55407

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Other Names 1

Former Name (1)Kimberia Joy Sherva

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeong Eun Park Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 8

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

ALEX IANTAFFI PHD, MS, CST, LMFT

Marriage & Family Therapist