GRACE PARK LCPC
NPI 1710647813
Counselor - Professional in Portland, ME

Q: What is Grace Park's NPI number?

The NPI number for Grace Park is 1710647813. It was assigned to this individual provider in the NPPES registry on December 30, 2021.

Q: What is Grace Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Grace Park was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 December 30, 2021

104 BRACKETT ST, PORTLAND, ME 04102(480) 631-9834 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2025, Dec 30, 2021 (2 updates tracked since 2021).

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About Grace Park Lcpc NPPES

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

GRACE PARK LCPC (NPI 1710647813) is an individual professional provider in Portland, Maine, licensed in Maine (CC7280) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1710647813

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameGRACE PARKCredential: LCPC

Location Address104 BRACKETT STPortland, ME 04102-3824

Mailing Address104 Brackett StPortland, ME 04102-3824 · (207) 871-1200 · Fax (207) 871-1232

Phone(480) 631-9834

Sole ProprietorNo

Enumeration DateDecember 30, 2021

Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration

NPPES CertifiedNovember 4, 2025

✔ NPI 1710647813 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 ME · CC7280

104 BRACKETT ST, Portland, ME 04102

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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 Grace Park's NPI number?

The NPI number for Grace Park is 1710647813. It was assigned to this individual provider in the NPPES registry on December 30, 2021.

Where is Grace Park located?

Grace Park practices at 104 Brackett St, Portland, ME 04102. The listed phone number is (480) 631-9834.

What is Grace Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Grace Park was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.