NICOLA PARK
NPI 1558918003
Counselor - Mental Health in Sioux Falls, SD

Active since August 20, 2019PECOS EnrolledAccepts Medicare Assignment
4400 W 69TH ST, SIOUX FALLS, SD 57108(605) 322-4304 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Nicola Park NPPES

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

NICOLA PARK (NPI 1558918003) is an individual mental health provider in Sioux Falls, South Dakota, licensed in (LPC-MH30581) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558918003
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLA PARK
Location Address4400 W 69TH STSioux Falls, SD 57108-8170
Mailing Address4400 W 69th StSioux Falls, SD 57108-8170 · (605) 322-4304
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 20, 2019
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
✔ NPI 1558918003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed · LPC-MH30581✔ Licensed in SD · LPC20540
4400 W 69TH ST, Sioux Falls, SD 57108

Accepted 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

Nicola 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 ID7315398591
PECOS Enrollment IDI20240111004724
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.

Psychiatry & Neurology (Psychiatry)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Psychiatry & Neurology (Psychiatry)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Nurse Practitioner (Family)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4400 W 69TH ST, STE 1500
SIOUX FALLS, SD 57108
Physician Assistant
4400 W 69TH ST
SIOUX FALLS, SD 57108
Counselor (Mental Health)
4400 W 69TH ST, STE 1500
SIOUX FALLS, SD 57108
Pharmacist
4400 W 69TH ST, SUITE 1800
SIOUX FALLS, SD 57108
Social Worker (Clinical)
4400 W 69TH ST
SIOUX FALLS, SD 57108

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 Nicola Park's NPI number?

The NPI number for Nicola Park is 1558918003. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Nicola Park located?

Nicola Park practices at 4400 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 322-4304.

What is Nicola Park's specialty?

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

Is Nicola Park enrolled in Medicare?

Yes. Nicola 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.

What insurance does Nicola Park accept?

Health plans from Avera Health Plans and Sanford Health Plan list Nicola 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 Nicola Park was last updated on April 20, 2023. 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.