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

Dr. Kyulee Park, PHD, LPC, NCC

Individual provider Mental Health Counselor · NPI 1477170009

Dr. Kyulee Park, PHD, LPC, NCC is a Mental Health Counselor in Norfolk, Virginia. Qualified in 2020, 6 years ago. Practices with Evms Academic Physicians and Surgeons Health Services Foundation, a 224-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2020
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

825 Fairfax Ave Ste 206
Norfolk, VA 23507-1912
Phone: (757) 446-5955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701010068 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 0701010068 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 0704009831 (VA)

Record details

NPI number1477170009
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LPC , NCC
Sole proprietorNo
NPI enumeratedJune 30, 2020
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Evms Academic Physicians And Surgeons Health Services Foundation — 224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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