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

Mr. Jerry Edward Park, LPC

Individual provider Mental Health Counselor · NPI 1457381360

Mr. Jerry Edward Park, LPC is a Mental Health Counselor in Hampton, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
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

2202 Executive Dr Ste C
Hampton, VA 23666-6604
Phone: (757) 827-7707
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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 0701002010 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 701002010 (VA)

Record details

NPI number1457381360
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

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