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JIMIN PARK LAC
NPI 1528713062
Counselor - Mental Health in Mesa, AZ

Active since February 14, 2022
1234 S POWER RD STE 252, MESA, AZ 85206(602) 675-6185 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jimin Park Lac NPPES

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

JIMIN PARK LAC (NPI 1528713062) is an individual mental health provider in Mesa, Arizona and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1528713062
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJIMIN PARKCredential: LAC
Location Address1234 S POWER RD STE 252Mesa, AZ 85206-3700
Mailing Address1234 S Power Rd Ste 252Mesa, AZ 85206-3700 · (602) 675-6185
Phone(602) 675-6185
Sole ProprietorNo
Enumeration DateFebruary 14, 2022
NPPES CertifiedFebruary 14, 2022
✔ NPI 1528713062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1234 S POWER RD STE 252, Mesa, AZ 85206
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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.

SYDNEY BASTI
Social Worker (Clinical)
1234 S POWER RD STE 252
MESA, AZ 85206
Maricopa County (602) 675-6185
DESMOND REIS
Counselor (Professional)
1234 S POWER RD STE 252
MESA, AZ 85206
Maricopa County (602) 675-6185
KAMRYN GAINES
Counselor (Professional)
1234 S POWER RD STE 252
MESA, AZ 85206
Maricopa County (602) 675-6185
CRISTA JACKSON
Counselor (Mental Health)
1234 S POWER RD STE 252
MESA, AZ 85206
Maricopa County (602) 675-6185
REBECCA COLVIN
Counselor (Mental Health)
1234 S POWER RD STE 252
MESA, AZ 85206
Maricopa County (602) 675-6185
KELLY HOPKINS
Counselor (Professional)
1234 S POWER RD STE 252
MESA, AZ 85206
Maricopa County (602) 675-6185
CELEST RICE
Counselor (Mental Health)
1234 S POWER RD STE 252
MESA, AZ 85206
Maricopa County (480) 602-6185
ANGELINA SANDOVAL
Social Worker (Clinical)
1234 S POWER RD STE 252
MESA, AZ 85206
Maricopa County (602) 675-6185

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 Jimin Park's NPI number?

The NPI number for Jimin Park is 1528713062. It was assigned to this individual provider in the NPPES registry on February 14, 2022.

Where is Jimin Park located?

Jimin Park practices at 1234 S Power Rd Ste 252, Mesa, AZ 85206. The listed phone number is (602) 675-6185.

What is Jimin Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jimin Park was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.