Colleen Perry, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC38937 Issued in CA

Practice address

4140 Glencoe Ave Apt 613
Marina del Rey, CA 90292-6689

Phone

(310) 259-8970

NPI assigned

Jun 18, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1003255506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 GLENCOE AVE APT 613",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926689",
            "telephone_number": "310-259-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 GLENCOE AVE APT 613",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926689",
            "telephone_number": "310-259-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "COLLEEN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC38937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Perez
• Christian Perez
• Justin Perez, M.D.
• Stephanie Imelda Perez, OTD, OTR/L
• Kelsha Perine
• Holly Peters
• Petrel Emergency Physicians, a Medical Corporation
• Phalarope Inpatient Services, a Medical Corporation
• Jamie Phan, PA-C
• Joseph Tri Phan, MD

• All providers in Marina del Rey, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.