Perry Mendel Lavin, LCMHC LCASA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15125 Issued in NC

Practice address

201 N Ridgeway Ave
Black Mountain, NC 28711-3506

Phone

(828) 669-9798

Fax

(828) 544-1080

NPI assigned

Oct 7, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Black Mountain Counseling Center

  • Psychiatry Physician
  • Black Mountain, NC
  • NPI 1225314586
  NPD

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1013558428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JAKS RIDGE DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051460",
            "telephone_number": "334-322-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N RIDGEWAY AVE",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113506",
            "telephone_number": "828-669-9798",
            "fax_number": "828-544-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 W Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288030047",
            "country_code": "US",
            "telephone_number": "828-348-5836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Jaks Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288051460",
            "country_code": "US",
            "telephone_number": "334-322-4878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVIN",
        "first_name": "PERRY",
        "middle_name": "MENDEL",
        "credential": "LCMHC LCASA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A15125",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-26602",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Steven Kirtley Jr., LCMHC, LCAS
• Mark Andrew Kleive, DDS
• Susan Kostenko, M.D.
• Christina Joyce Mackenzie Kuetemeyer, NP
• James Thomas Lane, P.T.
• Despina Ledford
• Kenneth Taber Lenington, M.D.
• Andrea Lee Leone, PHARMD
• George Roger Leroy, LCAS, LPC
• Jennifer Lynn Lewis

• All providers in Black Mountain, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.