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KYEYOUNG PARK
NPI 1538897939
Counselor - Mental Health in Westfield, MA

Active since August 12, 2022PECOS EnrolledAccepts Medicare Assignment
77 MILL ST, WESTFIELD, MA 01085(413) 568-1421(413) 572-4117 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1538897939
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKYEYOUNG PARK
Location Address77 MILL STWestfield, MA 01085-4598
Mailing Address77 Mill StWestfield, MA 01085-4598 · (413) 568-1421 · Fax (413) 572-4117
Phone(413) 568-1421
Fax(413) 572-4117
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 12, 2022
NPPES CertifiedAugust 12, 2022
✔ NPI 1538897939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
77 MILL ST, Westfield, MA 01085
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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

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.

PECOS PAC ID9234650342
PECOS Enrollment IDI20250305002886
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 20

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

EMILY SANCHEZ
Social Worker (Clinical)
77 MILL ST
WESTFIELD, MA 01085
Hampden County (413) 568-6141
ANNA KOGAN
Counselor
77 MILL ST, SUITE 251
WESTFIELD, MA 01085
Hampden County (413) 568-6141
JULIANNE STASIOWSKI MSW
Social Worker (Clinical)
77 MILL ST, SUITE 251
WESTFIELD, MA 01085
Hampden County (413) 568-6141
PATRICIA JALETTE LCSW
Social Worker (Clinical)
77 MILL ST, SUITE 251
WESTFIELD, MA 01085
Hampden County (413) 568-6141
FRANK HUNTER
Social Worker (Clinical)
77 MILL ST
WESTFIELD, MA 01085
Hampden County (413) 572-4111
MARIAH STRATTNER
Social Worker (Clinical)
77 MILL ST
WESTFIELD, MA 01085
Hampden County (413) 568-6141
EMMANUEL KWASI OWUSU
Counselor
77 MILL ST
WESTFIELD, MA 01085
Hampden County (413) 572-4111
EMMANUEL NYONGANI
Counselor
77 MILL ST
WESTFIELD, MA 01085
Hampden County (413) 568-6141

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.

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 3 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.