YAE EUN PARK LMFT
NPI 1578304150
Marriage & Family Therapist in Santa Ana, CA

Q: What is Yae Eun Park's NPI number?

The NPI number for Yae Eun Park is 1578304150. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Q: What is Yae Eun Park's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Yae Eun Park enrolled in Medicare?

No. Yae Eun Park has opted out of Medicare through May 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Yae Eun Park was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 05, 2024Opted out of Medicare · through May 14, 2028

1633 E 4TH ST STE 120, SANTA ANA, CA 92701(714) 558-9266 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Yae Eun Park Lmft NPPES

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

YAE EUN PARK LMFT (NPI 1578304150) is an individual marriage & family therapist in Santa Ana, California, licensed in California (146877) and active in the NPI registry since June 2024. She has opted out of Medicare through May 14, 2028.

NPPES Registry Identity

NPI1578304150

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameYAE EUN PARKCredential: LMFT

Location Address1633 E 4TH ST STE 120Santa Ana, CA 92701-5143

Mailing Address1633 E 4th St Ste 120Santa Ana, CA 92701-5143 · (714) 558-9266

Phone(714) 558-9266

Sole ProprietorYes

Enumeration DateJune 5, 2024

NPPES CertifiedJune 5, 2024

✔ NPI 1578304150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 146877

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1633 E 4TH ST STE 120, Santa Ana, CA 92701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Yae Eun Park Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 14, 2024 through May 14, 2028.

Opt-Out Effective DateMay 14, 2024

Opt-Out In Effect ThroughMay 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

JAMES MASTELLER

Marriage & Family Therapist