Active NPI
Lynley Park
- Professional Counselor
- Hattiesburg, MS
National Provider Identifier
1023987328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3367
- Practice address
- 6760 U S Highway 98 Ste 1
Hattiesburg, MS 39402-7679 - Phone
- (601) 402-5137
- NPI assigned
- Nov 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3367 | MS | Primary |
Addresses
Primary practice location
6760 U S Highway 98 Ste 1
Hattiesburg, MS 39402-7679
Mailing address
75 Sandy LN
Hattiesburg, MS 39402-9240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3367 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1023987328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 SANDY LN",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394029240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6760 U S HIGHWAY 98 STE 1",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394027679",
"telephone_number": "601-402-5137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "LYNLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-04",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "3367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.