Michelle Allison Park, LPC in Charleston, SC - Medicare Counselor Provider

Michelle Allison Park, LPC is a medicare enrolled "Counselor - Professional" provider in Charleston, South Carolina. Her current practice location is 1423 Ashley River Rd Apt 3d, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (816) 944-0477.

Michelle Allison Park is licensed to practice in South Carolina (license number 10070) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316608300.

Contact Information

	Michelle Allison Park, LPC
	1423 Ashley River Rd Apt 3d, Charleston, SC 29407-5369
	(816) 944-0477
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle Allison Park
Gender	Female
Speciality	Counselor - Professional
Location	1423 Ashley River Rd Apt 3d, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316608300
Provider Enumeration Date: 01/03/2022
Last Update Date: 07/02/2025

Medicare PECOS Information:

PECOS PAC ID: 8022545268
Enrollment ID: I20241230000660

Medical Identifiers

Medical identifiers for Michelle Allison Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316608300	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2021032885 (Missouri)	Secondary
101YP2500X	Counselor - Professional	10070 (South Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle Allison Park allows following entities to bill medicare on her behalf.

Entity Name	Mental Health Therapy Center - Charleston, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902647928 PECOS PAC ID: 5193252328 Enrollment ID: O20241230000323

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Allison Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Michelle Allison Park, LPC 1423 Ashley River Rd Apt 3d, Charleston, SC 29407-5369 Ph: (816) 944-0477	Michelle Allison Park, LPC 1423 Ashley River Rd Apt 3d, Charleston, SC 29407-5369 Ph: (816) 944-0477

Reviews and Comments

Counselor in Charleston, SC

Mrs. Christi J. Wright, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3125 Ashley Phosphate Rd, Suite 117, Charleston, SC 29418 Phone: 843-552-1220 Fax: 843-552-0502
Dr. John Moss Painter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011
Joyce A Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-852-4100
Cheryl S Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-852-4100
Tiffany Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-852-4100
Rebecca Winstead, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-852-4100
Mr. Ian Rivers Butler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-852-4100

Michelle Allison Park, LPC - Medicare Counselor in Charleston, SC