Ms Jessika Denise Park, AMFT, LPCC - Medicare Counselor in Stockton, CA

Ms Jessika Denise Park, AMFT, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Stockton, California. She graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is 1305 Tommydon St, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 476-5960.

Ms Jessika Denise Park is licensed to practice in California (license number 19194) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1477159531.

Contact Information

Ms Jessika Denise Park, AMFT, LPCC
1305 Tommydon St,
Stockton, CA 95210-3364
(209) 476-5960
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Jessika Denise Park
GenderFemale
SpecialityMental Health Counselor
Experience6 Years
Location1305 Tommydon St, Stockton, California
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Jessika Denise Park graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1477159531
  • Provider Enumeration Date: 12/04/2020
  • Last Update Date: 02/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6901381318
  • Enrollment ID: I20260402001627

Medical Identifiers

Medical identifiers for Ms Jessika Denise Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477159531NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 19194 (California)Primary
106H00000XMarriage & Family Therapist 131422 (California)Secondary

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. Ms Jessika Denise 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 AddressPractice Location Address
Ms Jessika Denise Park, AMFT, LPCC
1169 S Main St Unit 160,
Manteca, CA 95337-5747

Ph: (209) 629-6275
Ms Jessika Denise Park, AMFT, LPCC
1305 Tommydon St,
Stockton, CA 95210-3364

Ph: (209) 476-5960

Reviews and Comments


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Practice Location: 1212 N California St, Stockton, CA 95202
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Norman Love,
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Practice Location: 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210
Phone: 209-478-2487    

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