Ashley Park, MA, LPCC, ATR-P

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPCC.0017243 Issued in CO

Practice address

420 E 58TH Ave Ste 210
Denver, CO 80216-1400

Phone

(720) 854-0262

NPI assigned

May 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Professional Psychology Associates, PC

  dba Correctional Psychology Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denver, CO
  • NPI 1316368996
  NPD

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1619590916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 RIVER VIEW CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805018652",
            "telephone_number": "217-891-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 58TH AVE STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802161400",
            "telephone_number": "720-854-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ASHLEY",
        "credential": "MA, LPCC, ATR-P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "CO",
            "license": "ATR-P19-532",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPCC.0017243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley@corrpsych.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "420 E 58th Ave Ste 210",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802161400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael S Pariset, DO
• Chiara Parisi
• Park Avenue Surgery Center LLC
• Park Avenue Surgery Center LLC
• Ashley Park
• Eun Chil Park, M.D.
• Hwajin Park
• Jung Min Park, LIC. AC.
• Jung Yeon Park, M.D.
• Samuel Park, DPT

• Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.