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

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment
501 N WALKER AVE STE 140, OKLAHOMA CITY, OK 73102(405) 841-4800(405) 841-4803 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

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

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.

Medicare Billing Reassignment

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

Calm Waters Center For Children And Families
Same address
Community/Behavioral Health
501 N WALKER AVE, SUITE 140
Oklahoma City, OK 73102
  • Reassigned Medicare billing, Oklahoma enrollment
  • 4 clinicians in this Medicare group
NPI 1003342320 (405) 841-4800

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 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)
501 N WALKER AVE STE 140
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 841-4800
MEGAN MARIA HARDY
Marriage & Family Therapist
501 N WALKER AVE STE 140
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 841-4800
KASSANDRA GAONA-MILLER LMFT CANDIDATE
Marriage & Family Therapist
501 N WALKER AVE STE 140
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 841-4800
MISS HEATHER KRISTINE GAGLIO M.S., LMFT
Marriage & Family Therapist
501 N WALKER AVE STE 140
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 841-4800
SARAH ABIGAIL TOOLEY
Marriage & Family Therapist
501 N WALKER AVE STE 140
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 841-4800

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 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.

Where is Jordan Park located?

Jordan Park practices at 501 N Walker Ave Ste 140, Oklahoma City, OK 73102. The listed phone number is (405) 841-4800.

What is Jordan Park's specialty?

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

Is Jordan Park enrolled in Medicare?

Yes. Jordan 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 Jordan Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Park reassigns Medicare benefits to Calm Waters Center For Children And Families (Oklahoma City, OK). 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 Jordan Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Park accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jordan 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 Jordan Park was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.