MRS. JORDAN PARK MS, LMFT - NPI 1508363680 - Marriage & Family Therapist in Oklahoma City, OK

Q: What is Jordan Park's NPI number?

The NPI number for Jordan Park is 1508363680. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Q: What is Jordan 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 Jordan Park was last updated on September 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Jordan Park Ms, Lmft NPPES

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

MRS. JORDAN PARK MS, LMFT (NPI 1508363680) is an individual marriage & family therapist in Oklahoma City, Oklahoma, licensed in Oklahoma (10230) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508363680

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. JORDAN PARKCredential: MS, LMFT

Location Address501 N WALKER AVE STE 140Oklahoma City, OK 73102-1233

Mailing Address501 N Walker Ave Ste 140Oklahoma City, OK 73102-1233 · (405) 841-4800 · Fax (405) 841-4803

Phone(405) 841-4800

Fax(405) 841-4803

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 6, 2018

Last NPPES UpdateSeptember 2, 2021

NPPES CertifiedSeptember 2, 2021

✔ NPI 1508363680 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 OK · 10230

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.

501 N WALKER AVE STE 140, Oklahoma City, OK 73102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jordan Park Ms, Lmft 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 ID3971955352

PECOS Enrollment IDI20240122002631

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 5

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

MRS. KAITLYN RENEE ROEDL LPC-C

Counselor (Mental Health)