Jordan Park, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

10230 Issued in OK

Practice address

501 N Walker Ave Ste 140
Oklahoma City, OK 73102-1233

Phone

(405) 841-4800

Fax

(405) 841-4803

NPI assigned

Apr 6, 2018

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Marriage and Family Therapist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calm Waters Center for Children and FamiliesGroup PAC ID 5799137493, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Calm Waters Center for Children and Families

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1003342320
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1508363680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N WALKER AVE STE 140",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021233",
            "telephone_number": "405-841-4800",
            "fax_number": "405-841-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N WALKER AVE STE 140",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021233",
            "telephone_number": "405-841-4800",
            "fax_number": "405-841-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JORDAN",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "10230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shrilekha C Parikh, MD
• Suparshva Umesh Parikh, MD
• Katie L Parish
• Mary Parish
• Hanniel Park, PHARMD
• Linus Hyunbin Park
• Stanley S Park, MD
• Sungjin Park, MD
• David W Parke II, M.D.
• Julie T Parke, MD

• Marriage & Family Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Marriage & Family Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.