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MR. JERRY EDWARD PARK LPC
NPI 1457381360
Counselor - Professional in Hampton, VA

Active since July 04, 2006
2202 EXECUTIVE DR STE C, HAMPTON, VA 23666(757) 827-7707 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jerry Edward Park Lpc NPPES

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

MR. JERRY EDWARD PARK LPC (NPI 1457381360) is an individual professional provider in Hampton, Virginia, licensed in Virginia (0701002010) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1457381360
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JERRY EDWARD PARKCredential: LPC
Location Address2202 EXECUTIVE DR STE CHampton, VA 23666-6604
Mailing Address2202 Executive Dr Ste CHampton, VA 23666-6604 · (757) 827-7707
Phone(757) 827-7707
Sole ProprietorNo
Enumeration DateJuly 4, 2006
Last NPPES UpdateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
✔ NPI 1457381360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701002010
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 701002010 (VA)
2202 EXECUTIVE DR STE C, Hampton, VA 23666
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

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

SHERRI SPAIN DR.
Psychologist (Clinical)
2202 EXECUTIVE DR STE C
HAMPTON, VA 23666
Hampton City (757) 827-7707
MELYNDA S KEATTS LPC
Counselor (Professional)
2202 EXECUTIVE DR STE C
HAMPTON, VA 23666
Hampton City (757) 827-7707
DR. DUSTIN RISSER
Psychologist (Clinical)
2202 EXECUTIVE DR STE C
HAMPTON, VA 23666
Hampton City (757) 827-7707
KIRSTEN BURT LMFT
Marriage & Family Therapist
2202 EXECUTIVE DR STE C
HAMPTON, VA 23666
Hampton City (757) 827-7707
SHARON HOOD LCSW
Social Worker (Clinical)
2202 EXECUTIVE DR STE C
HAMPTON, VA 23666
Hampton City (757) 827-7707
DAVID CODDINGTON LCP
Psychologist (Clinical)
2202 EXECUTIVE DR STE C
HAMPTON, VA 23666
Hampton City (757) 827-7707
MRS. TAMARA MUEGGENBORG MASTERS M.S.W, L.C.S.W
Social Worker (Clinical)
2202 EXECUTIVE DR STE C
HAMPTON, VA 23666
Hampton City (757) 827-7707
MS. CARLA ELIZABETH SELEY
Counselor (Professional)
2202 EXECUTIVE DR STE C
HAMPTON, VA 23666
Hampton City (757) 827-7707

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 Jerry Park's NPI number?

The NPI number for Jerry Park is 1457381360. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Jerry Park located?

Jerry Park practices at 2202 Executive Dr Ste C, Hampton, VA 23666. The listed phone number is (757) 827-7707.

What is Jerry Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Jerry Park accept?

Health plans from Providence Health Plan list Jerry Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Park was last updated on March 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.