Joo Ae Park, AMFT, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95178550 Issued in CA

Practice address

12966 Euclid St Ste 495
Garden Grove, CA 92840-9209

Phone

(714) 461-3687

NPI assigned

Jun 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Orange County Asian and Pacific Islander Community Alliance Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Garden Grove, CA
  • NPI 1033896444
  NPD
• Orange County Asian and Pacific Islander Community Alliance, Inc.

  • Community/Behavioral Health Agency
  • Garden Grove, CA
  • NPI 1679467120
  NPD (past)

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1932941424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST STE 495",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928409209",
            "telephone_number": "714-461-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST STE 495",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928409209",
            "telephone_number": "714-461-3687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12966 Euclid St Ste 425",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928405200",
            "country_code": "US",
            "telephone_number": "714-461-3687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOO",
        "middle_name": "AE",
        "credential": "AMFT, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95178550",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jin Won Park, LAC
• Jinyoung Park, HOUSING SPECIALIST
• Jiwon Park
• Joanne Eunjin Park
• Jongsook Susie Park, MD
• Joonkyu Park, D.C.
• Joseph Park, DPT
• Jun Gyu Park, DDS
• Kideog Park
• Sanghoon Park, DDS

• Registered Nurse in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.