Individual provider Active NPI

Jessica Leigh Perry, MSW

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1043651094
Registry record updated Jul 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095717 Issued in MI
Practice address
913 W Holmes Rd Ste 145
Lansing, MI 48910-0435
Phone
(517) 930-1904
Fax
(517) 507-4888
NPI assigned
Jul 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801095717 MI Primary

Addresses

Primary practice location

913 W Holmes Rd Ste 145
Lansing, MI 48910-0435

Mailing address

9268 Riverside Dr
Grand Ledge, MI 48837-9273
Phone (517) 930-1904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151214000250 MI Practitioner - Clinical Social Worker 8123329349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inner Healing Counseling CenterGroup PAC ID 0941690697, 2 clinicians

Practice addresses (Care Compare)

416 N Homer St
Suite 106
Lansing, MI 48912-4700
Phone (517) 930-1904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801095717MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Healing Counseling Center Clinical CurrentSince Jun 16, 2017 Accepting new patients

Locations

416 N Homer St
Ste 106
Lansing, MI 48912
Phone (517) 449-3213

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": "1373155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373155200000",
    "number": "1043651094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9268 RIVERSIDE DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488379273",
            "telephone_number": "517-930-1904",
            "fax_number": "517-507-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W HOLMES RD STE 145",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489100435",
            "telephone_number": "517-930-1904",
            "fax_number": "517-507-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-07",
        "last_updated": "2013-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.