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Active NPI 1891039541 Individual Practitioner Female Practitioner

Alyssa L Park , LCPC

Counselor - Professional • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Alyssa Park, LCPC is a registered healthcare professional specializing in Counselor - Professional in Springfield, IL. Practice services are available at 5220 S 6TH STREET RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5220 S 6th Street Rd
Suite 2400

Springfield, IL 627035735

Telephone 2177577700
Fax 2177577799
Associated Practice Facility / Clinic
🏢 Midwest Eye Associates, Llc Facility NPI 1841345543

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
192 Specialists

Practicing in Springfield, IL (9683 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180008205

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Julianna Willeford , RN

Registered Nurse - Psychiatric/Mental Health, Child & Adolescent

NPI 1083736391

Registered Nurse

Jeanette Hoelzer , LCPC

Counselor - Professional

NPI 1225379563

Licensed Clinical Professional Counselor

Kendra Patton , MSW

Social Worker - Clinical

NPI 1326190463

Master of Social Work

Lana Miller , LCSW

Social Worker - Clinical

NPI 1396707618

Licensed Clinical Social Worker

Micaela Brewer , LCSW

Social Worker - Clinical

NPI 1417268152

Licensed Clinical Social Worker

Nancy Nichols , LCSW

Social Worker - Clinical

NPI 1558321737

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2013

Registered at 5220 S 6TH STREET RD, SUITE 2400, SPRINGFIELD, IL 627035735 (Tel: 2177577700)

📍
Updated Business Mailing Address October 11, 2013

Registered at 710 N 8TH ST, SPRINGFIELD, IL 627026324 (Tel: 2175251064)

👤
Provider Name / Credentials Updated October 11, 2013

Recorded as ALYSSA PARK, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2013

Counselor (License #180008205 in IL)

🟢
Initial NPI Registration & Enumeration November 19, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891039541
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2012
Last Update: October 11, 2013
Sole Proprietor: No

Mailing Address

710 N 8th St

Springfield, IL 627026324

Phone: 2175251064

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.