Individual provider Active NPI

Laura J Perry, PH.D., LMHC

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1023470960
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13565 Issued in FL
Practice address
808 NW 23Rd Ave
Gainesville, FL 32609-3534
Phone
(352) 665-3390
NPI assigned
Mar 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH13565 FL Primary

Addresses

Primary practice location

808 NW 23Rd Ave
Gainesville, FL 32609-3534

Mailing address

5200 NW 43Rd St # 102-197
Gainesville, FL 32606-4484
Phone (352) 665-3390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH13565FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Laura J. Perry LMHC PLLC Mental Health CurrentSince Jan 8, 2023 Accepting new patients

Locations

808 NW 23rd Ave
Gainesville, FL 32609
Phone (352) 275-4121

808 NW 23rd Ave
Ste A
Gainesville, FL 32609

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1023470960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 NW 43RD ST # 102-197",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064484",
            "telephone_number": "352-665-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 NW 23RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093534",
            "telephone_number": "352-665-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "PH.D., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-21",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.