Organization Active NPI

Park Counseling Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chapel Hill, NC
National Provider Identifier
1730979436
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PARK COUNSELING SERVICES, PLLC
Practice address
136 Mountain Laurel
Chapel Hill, NC 27517-9016
Phone
(919) 431-1047
Fax
(919) 430-8856
NPI assigned
May 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Joseph ParkNPI 1689156622
Title
LCSW
Phone
(919) 430-1047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

136 Mountain Laurel
Chapel Hill, NC 27517-9016

Mailing address

136 Mountain Laurel
Chapel Hill, NC 27517-9016
Phone (919) 431-1047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250521003234 NC Part B Supplier - Clinic/Group Practice 8628597713 Receives reassigned benefits from 1 practitioner
Practice locations: Chapel Hill, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1730979436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MOUNTAIN LAUREL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179016",
            "telephone_number": "919-431-1047",
            "fax_number": "919-430-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MOUNTAIN LAUREL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179016",
            "telephone_number": "919-431-1047",
            "fax_number": "919-430-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "919-430-1047"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.