YUJIN PARK
NPI 1578009106
Marriage & Family Therapist in Fullerton, CA
About Yujin Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YUJIN PARK (NPI 1578009106) is an individual marriage & family therapist in Fullerton, California, licensed in California (LMFT129389) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fullerton.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yujin Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Yujin Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Palma, CA 90623
- Reassigned Medicare billing, California enrollment
- 15 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 2
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 Yujin Park's NPI number?
The NPI number for Yujin Park is 1578009106. It was assigned to this individual provider in the NPPES registry on January 6, 2017.
Where is Yujin Park located?
Yujin Park practices at 1048 S Brookhurst Rd, Fullerton, CA 92833. The listed phone number is (714) 449-1125.
What is Yujin Park's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Yujin Park enrolled in Medicare?
Yes. Yujin Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Yujin Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yujin Park reassigns Medicare benefits to Well Mental Health Counseling Licensed Clinical Social Worker Inc (La Palma, CA). 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 Yujin Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Yujin Park was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.
# Yujin Park · NPI 1578009106
Marriage & Family Therapist provider in Fullerton, California. Individual provider, active in the CMS NPPES registry since January 6, 2017.
## Identity
- **NPI:** 1578009106 (Entity type: Individual)
- **Enumerated:** January 6, 2017
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** LMFT129389 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1048 S BROOKHURST RD, Fullerton, CA 92833-3709
- **Phone:** (714) 449-1125
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Well Mental Health Counseling Licensed Clinical Social Worker Inc (NPI 1942080981, La Palma, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1578009106) · Data from the CMS NPPES public registry.