Jo-Lynn Park, MA LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SWP-LCPC-LIC-6402 Issued in MT

Practice address

1605 Danielson Rd
Kalispell, MT 59901-7252

Phone

(406) 758-8122

NPI assigned

Jan 15, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1760804322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 5TH AVE E UNIT 314C",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015328",
            "telephone_number": "970-759-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 DANIELSON RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017252",
            "telephone_number": "406-758-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JO-LYNN",
        "credential": "MA LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "SWP-LCPC-LIC-6402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiana Pallister
• Andrew Francis Palmer, M.D.
• Mandee Pancheri Johnson, LCSW
• Suzanne Panique, PCLC
• Chelsey Jean Pappas, LAC
• Thomas Parkhill, PT
• Colleen Ann Parks, RPH
• Noah McRae Parks
• Parkside Counseling LLC
• Kolbie Alexandra Parnell, ACLC

• Mental Health Counselor in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.