Seolah Park

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61186722 Issued in WA

Practice address

3081 S Christys Crossing Dr
Federal Way, WA 98003-7785

Phone

(503) 269-2998

NPI assigned

Feb 6, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peaceful Heart Therapy, PLLC

  • Mental Health Counselor
  • Renton, WA
  • NPI 1497521694
  Medicare reassignment NPD Authorized official
• Asian Health & Service Center

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1437306586
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1093270704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 S CHRISTYS CROSSING DR",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037785",
            "telephone_number": "503-269-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 S CHRISTYS CROSSING DR",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037785",
            "telephone_number": "503-269-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SEOLAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61186722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyun S. Park, D.D.S.
• Joonil Park, D.M.D.
• Kyung Joong Park, NMD
• Leah Park
• Pup-Shin Park, RPH.
• Soyoung Park
• Park's Health Care Group, LTD.
• Alissa Parker, LPN
• Aria M Parker, MD
• Charles Raymond Parker, DPT

• Mental Health Counselor in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.