KYEYOUNG PARK
NPI 1538897939
Counselor - Mental Health in Westfield, MA
About Kyeyoung Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYEYOUNG PARK (NPI 1538897939) is an individual mental health provider in Westfield, Massachusetts and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Kyeyoung Park 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.
Medicare Billing Reassignment
Medicare enrollment records show Kyeyoung Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MA 01104
- Reassigned Medicare billing, Massachusetts enrollment
- 211 clinicians in this Medicare group
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 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 Kyeyoung Park's NPI number?
The NPI number for Kyeyoung Park is 1538897939. It was assigned to this individual provider in the NPPES registry on August 12, 2022.
Where is Kyeyoung Park located?
Kyeyoung Park practices at 77 Mill St, Westfield, MA 01085. The listed phone number is (413) 568-1421.
What is Kyeyoung Park's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kyeyoung Park enrolled in Medicare?
Yes. Kyeyoung 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 Kyeyoung Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyeyoung Park reassigns Medicare benefits to Behavioral Health Network Inc (Springfield, MA). 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 Kyeyoung Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyeyoung Park accept?
Health plans from Anthem Blue Cross and Blue Shield list Kyeyoung 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 Kyeyoung Park was last updated on August 12, 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.
# Kyeyoung Park · NPI 1538897939
Mental Health provider in Westfield, Massachusetts. Individual provider, active in the CMS NPPES registry since August 12, 2022.
## Identity
- **NPI:** 1538897939 (Entity type: Individual)
- **Enumerated:** August 12, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 77 MILL ST, Westfield, MA 01085-4598
- **Phone:** (413) 568-1421 · **Fax:** (413) 572-4117
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Behavioral Health Network Inc (NPI 1477582609, Springfield, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1538897939) · Data from the CMS NPPES public registry.