Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benita S Park

Individual provider Mental Health Counselor · NPI 1578419073

Benita S Park is a Mental Health Counselor in Jericho, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

282 Birchwood Park Dr
Jericho, NY 11753-2307
Phone: (631) 392-8384
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 129830 (NY)

Record details

NPI number1578419073
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2026
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

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