KATHLEEN PARK
NPI 1962951236
Marriage & Family Therapist in Houston, TX
About Kathleen Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN PARK (NPI 1962951236) is an individual marriage & family therapist in Houston, Texas, licensed in Texas (71138) and active in the NPI registry since September 2016. She has opted out of Medicare through April 9, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kathleen Park 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 April 9, 2024 through April 9, 2028.
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.
HOUSTON, TX 77057
HOUSTON, TX 77057
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 Kathleen Park's NPI number?
The NPI number for Kathleen Park is 1962951236. It was assigned to this individual provider in the NPPES registry on September 28, 2016.
Where is Kathleen Park located?
Kathleen Park practices at 5757 Woodway Dr, Houston, TX 77057. The listed phone number is (832) 850-2980.
What is Kathleen Park's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kathleen Park enrolled in Medicare?
No. Kathleen Park has opted out of Medicare through April 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Kathleen Park was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kathleen Park · NPI 1962951236
Marriage & Family Therapist provider in Houston, Texas. Individual provider, active in the CMS NPPES registry since September 28, 2016.
## Identity
- **NPI:** 1962951236 (Entity type: Individual)
- **Enumerated:** September 28, 2016
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 71138 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5757 WOODWAY DR, Houston, TX 77057-1514
- **Phone:** (832) 850-2980
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 9, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 28, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1962951236) · Data from the CMS NPPES public registry.