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

Michelle Allison Park, LPC

Individual provider Mental Health Counselor · NPI 1316608300

Michelle Allison Park, LPC is a Mental Health Counselor in Charleston, South Carolina. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Missouri and South Carolina.

Years since qualifying
5
Licensed in
MO, SC
In the registry since
2022
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1423 Ashley River Rd Apt 3D
Charleston, SC 29407-5369
Phone: (816) 944-0477
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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 10070 (SC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2021032885 (MO)

Record details

NPI number1316608300
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJanuary 3, 2022
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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