Mr. Jerry Edward Park, LPC
Mr. Jerry Edward Park is a Professional Counselor provider (Counselor) practicing in Hampton, VA, registered in the NPPES registry with NPI 1457381360 since 2006. The credential LPC stands for Licensed Professional Counselor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1457381360 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Jerry Edward Park |
| Credential | LPC |
| Sex | Male |
| Practice address | 2202 EXECUTIVE DR STE C, Hampton, VA, 23666 |
| Phone | 7578277707 |
| Enumeration date | 2006-07-04 |
| Last updated in NPPES | 2025-03-20 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor | Secondary | 701002010 | VA |
| 101YP2500X | Professional Counselor | Primary | 0701002010 | VA |
LPC — Licensed Professional Counselor: A licensed mental-health counselor providing psychotherapy. About the LPC credential
Copy-ready billing details
Provider: Jerry Park, LPC NPI: 1457381360 Taxonomy: 101YP2500X (Professional Counselor) Address: 2202 EXECUTIVE DR STE C, Hampton, VA, 23666
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1447498191 | Tamara Masters | Individual | Clinical Social Worker | Hampton, VA |
| 1538499579 | Nathaniel Isaac | Individual | Clinical Psychologist | Hampton, VA |
| 1447597976 | Carla Seley | Individual | Professional Counselor | Hampton, VA |
| 1710316229 | Josephine Olson | Individual | Professional Counselor | Hampton, VA |
| 1801219951 | Wendy Price | Individual | Professional Counselor | Hampton, VA |
| 1073981213 | Alyssa Moss | Individual | Professional Counselor | Hampton, VA |
| 1982060125 | Aubrey Smith | Individual | Professional Counselor | Hampton, VA |
| 1285150078 | Sharon Hood | Individual | Clinical Social Worker | Hampton, VA |
Verify this record
Cross-check NPI 1457381360 against the authoritative CMS record: view Mr. Jerry Edward Park on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where does Jerry Park practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-03-20.