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Active NPI 1619429669 Individual Practitioner Female Practitioner

Issa Park , LMHC

Counselor - Professional • Richardson, TX

Professional Overview & Biography Verified Profile Summary

Issa Park, LMHC is a registered healthcare professional specializing in Counselor - Professional in Richardson, TX. Practice services are available at 1900 JAY ELL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1900 Jay Ell Dr

Richardson, TX 750811838

Telephone 2545541810
Associated Practice Facility / Clinic
🏢 Dietgenics Nutrition Consulting Limited Liability Company Facility NPI 1134407596

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Richardson, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
174 Specialists

Practicing in Richardson, TX (21203 Statewide)

Telehealth Adoption Rate
0.6% 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

CMS Verified: 2023-01-19
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WA LH60687373

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License TX 87758

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1255505566

Master of Science, Registered Dietitian, Licensed Dietitian

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 19, 2023

Registered at 1900 JAY ELL DR, RICHARDSON, TX 750811838 (Tel: 2545541810)

📍
Updated Business Mailing Address January 19, 2023

Registered at 1900 JAY ELL DR, RICHARDSON, TX 750811838 (Tel: 2545541810)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2023

Counselor (License #87758 in TX)

✅
NPI Profile Active October 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 25, 2016

Registered at 3130 E MADISON ST STE 203, SEATTLE, WA 981124234 (Tel: 2545541810)

📍
Updated Business Mailing Address October 25, 2016

Registered at 3130 E MADISON ST STE 203, SEATTLE, WA 981124234 (Tel: 2545541810)

👤
Provider Name / Credentials Updated October 25, 2016

Recorded as ISSA PARK, LMHC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2016

Counselor (License #LH60687373 in WA)

🟢
Initial NPI Registration & Enumeration October 25, 2016

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: 1619429669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2016
Last Update: January 19, 2023
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1900 Jay Ell Dr

Richardson, TX 750811838

Phone: 2545541810

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.