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Mr. Jerry Edward Park, LPC

Professional Counselor in Hampton, VA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457381360

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Registry record

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 (757) 827-7707
Enumeration date Jul 4, 2006
Last updated in NPPES Mar 20, 2025

Taxonomy & licenses

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 701002010 (VA) Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 0701002010 (VA) Primary
LPC · Licensed Professional Counselor: A licensed mental-health counselor providing psychotherapy. About the LPC credential

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.

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Frequently asked questions

What is the NPI number for Jerry Park?
The National Provider Identifier (NPI) for Jerry Park is 1457381360, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jerry Park practice?
The practice location on file with NPPES is in Hampton, VA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-20.