KIMBERLY PARK LCDC, LMSW, QCC
NPI 1962356592
Counselor - Mental Health in Montgomery, TX

Q: What is Kimberly Park's NPI number?

The NPI number for Kimberly Park is 1962356592. It was assigned to this individual provider in the NPPES registry on February 23, 2026.

Q: What is Kimberly Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Park was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 23, 2026

3611 O HENRY DR, MONTGOMERY, TX 77356(832) 297-8373 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kimberly Park Lcdc, Lmsw, Qcc NPPES

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

KIMBERLY PARK LCDC, LMSW, QCC (NPI 1962356592) is an individual mental health provider in Montgomery, Texas, licensed in Texas (117447) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1962356592

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKIMBERLY PARKCredential: LCDC, LMSW, QCC

Location Address3611 O HENRY DRMontgomery, TX 77356-8016

Mailing Address3611 O Henry DrMontgomery, TX 77356-8016 · (832) 297-8373

Phone(832) 297-8373

Sole ProprietorYes

Enumeration DateFebruary 23, 2026

NPPES CertifiedFebruary 22, 2026

✔ NPI 1962356592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in TX · 117447

3611 O HENRY DR, Montgomery, TX 77356

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Kimberly Park's NPI number?

The NPI number for Kimberly Park is 1962356592. It was assigned to this individual provider in the NPPES registry on February 23, 2026.

Where is Kimberly Park located?

Kimberly Park practices at 3611 O Henry Dr, Montgomery, TX 77356. The listed phone number is (832) 297-8373.

What is Kimberly Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kimberly Park was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.