NPIMap

Organization Active NPI

Jo Lynn Park, PLLC

  • Professional Counselor
  • Boulder, CO
National Provider Identifier
1942105903
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JO LYNN PARK, PLLC
Practice address
4717 Spine Rd Apt a
Boulder, CO 80301-5341
Phone
(970) 759-8227
NPI assigned
Oct 10, 2026
Last updated
Oct 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

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

Authorized official

Name
Jo Lynn Park, LPCNPI 1760804322
Title
Owner
Phone
(970) 759-8227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

4717 Spine Rd Apt a
Boulder, CO 80301-5341

Mailing address

4717 Spine Rd Apt a
Boulder, CO 80301-5341
Phone (970) 759-8227

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791590400000",
    "number": "1942105903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 SPINE RD APT A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015341",
            "telephone_number": "970-759-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 SPINE RD APT A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015341",
            "telephone_number": "970-759-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO LYNN PARK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JO LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-759-8227",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.