MS. JESSIKA DENISE PARK AMFT, LPCC
NPI 1477159531
Counselor - Mental Health in Stockton, CA
About Ms. Jessika Denise Park Amft, Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JESSIKA DENISE PARK AMFT, LPCC (NPI 1477159531) is an individual mental health provider in Stockton, California, licensed in California (19194) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Jessika Denise Park Amft, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Jessika Park's NPI number?
The NPI number for Jessika Park is 1477159531. It was assigned to this individual provider in the NPPES registry on December 4, 2020. The provider is also known as Ms. Jessika Denise Parker.
Where is Jessika Park located?
Jessika Park practices at 1305 Tommydon St, Stockton, CA 95210. The listed phone number is (209) 476-5960.
What is Jessika Park's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jessika Park enrolled in Medicare?
Yes. Jessika Park is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jessika Park was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ms. Jessika Denise Park, AMFT, LPCC · NPI 1477159531
Mental Health provider in Stockton, California. Individual provider, active in the CMS NPPES registry since December 4, 2020.
## Identity
- **NPI:** 1477159531 (Entity type: Individual)
- **Enumerated:** December 4, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 19194 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1305 TOMMYDON ST, Stockton, CA 95210-3364
- **Phone:** (209) 476-5960
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1477159531) · Data from the CMS NPPES public registry.