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MRS. MARYCAROL PARK LCPC
NPI 1700646262
Counselor - Professional in North Aurora, IL

Active since March 21, 2024PECOS Enrolled
2465 MOUTRAY LN, NORTH AURORA, IL 60542(720) 331-8315 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Marycarol Park Lcpc NPPES

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

MRS. MARYCAROL PARK LCPC (NPI 1700646262) is an individual professional provider in North Aurora, Illinois, licensed in Illinois (180.015794) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700646262
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MARYCAROL PARKCredential: LCPC
Location Address2465 MOUTRAY LNNorth Aurora, IL 60542-2111
Mailing Address2465 Moutray LnNorth Aurora, IL 60542-2111 · (720) 331-8315
Phone(720) 331-8315
Sole ProprietorYes
Enumeration DateMarch 21, 2024
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1700646262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.015794
2465 MOUTRAY LN, North Aurora, IL 60542
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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 (PECOS)

Mrs. Marycarol Park Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

PARK CLINICAL SERVICES, PLLC
Community/Behavioral Health
2465 MOUTRAY LN
NORTH AURORA, IL 60542
Kane County (306) 335-0540

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 Marycarol Park's NPI number?

The NPI number for Marycarol Park is 1700646262. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Marycarol Park located?

Marycarol Park practices at 2465 Moutray Ln, North Aurora, IL 60542. The listed phone number is (720) 331-8315.

What is Marycarol Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Marycarol Park enrolled in Medicare?

Yes. Marycarol Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marycarol Park was last updated on March 25, 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.