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ALYSSA L PARK LCPC
NPI 1891039541
Counselor - Professional in Springfield, IL

Active since November 19, 2012
5220 S 6TH STREET RD, SUITE 2400, SPRINGFIELD, IL 62703(217) 757-7700(217) 757-7799 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alyssa L Park Lcpc NPPES

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

ALYSSA L PARK LCPC (NPI 1891039541) is an individual professional provider in Springfield, Illinois, licensed in Illinois (180008205) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1891039541
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALYSSA L PARKCredential: LCPC
Location Address5220 S 6TH STREET RD, SUITE 2400Springfield, IL 62703-5735
Mailing Address710 N 8th StSpringfield, IL 62702-6324 · (217) 525-1064 · Fax (217) 525-1651
Phone(217) 757-7700
Fax(217) 757-7799
Sole ProprietorNo
Enumeration DateNovember 19, 2012
Last NPPES UpdateOctober 11, 2013
✔ NPI 1891039541 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 · 180008205
5220 S 6TH STREET RD, Springfield, IL 62703
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Other Names 1

Former Name (1)Alyssa L Fagan

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.

DR. BRITTANY N. OTTINO PSY.D.
Psychologist (Clinical)
5220 S 6TH STREET RD, SUITE 1200
SPRINGFIELD, IL 62703
Sangamon County (217) 545-8000
NASIR IQBAL AHMAD M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5220 S 6TH STREET RD, SUITE 1200
SPRINGFIELD, IL 62703
Sangamon County (217) 545-7644
MRS. JEANETTE AYOTTE HOELZER LCPC
Counselor (Professional)
5220 S 6TH STREET RD, SUITE 2400
SPRINGFIELD, IL 62703
Sangamon County (217) 757-7700
MS. KENDRA A PATTON MSW
Social Worker (Clinical)
5220 S 6TH STREET RD, SUITE 2400
SPRINGFIELD, IL 62703
Sangamon County (217) 757-7700
HETAL A SHAH LPT
Physical Therapist
5220 S 6TH STREET RD, SUITE 1500
SPRINGFIELD, IL 62703
Sangamon County (217) 529-8469
STEPHANIE NICOLE FAHEY M.S. CCC-SLP
Speech-Language Pathologist
5220 S 6TH STREET RD, SUITE 1700 (NOLL MEDICAL PAVILLION, THE AUTISM CLINIC)
SPRINGFIELD, IL 62703
Sangamon County (217) 525-8332
MICAELA F BREWER LCSW
Social Worker (Clinical)
5220 S 6TH STREET RD, SUITE 2400
SPRINGFIELD, IL 62703
Sangamon County (217) 757-7700
MIDWEST EYE ASSOCIATES, LLC
Ophthalmology
5220 S 6TH STREET RD, SUITE 2300
SPRINGFIELD, IL 62703
Sangamon County (217) 529-3469

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 Alyssa Park's NPI number?

The NPI number for Alyssa Park is 1891039541. It was assigned to this individual provider in the NPPES registry on November 19, 2012. The provider is also known as Alyssa L Fagan.

Where is Alyssa Park located?

Alyssa Park practices at 5220 S 6th Street Rd Suite 2400, Springfield, IL 62703. The listed phone number is (217) 757-7700.

What is Alyssa 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 Alyssa Park was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.