Individual provider Active NPI

Almyra Perry, LPC

  • Mental Health Counselor
  • Medford, OR
National Provider Identifier
1043760986
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
24 Crater Lake Ave Ste 4
Medford, OR 97504-7482
Phone
(405) 699-1104
Fax
(541) 499-0271
NPI assigned
Oct 4, 2016
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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 Primary

Addresses

Primary practice location

24 Crater Lake Ave Ste 4
Medford, OR 97504-7482

Mailing address

860 Ivern Dr
Central Point, OR 97502-3621
Phone (405) 699-1104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240422001378 OR Practitioner - Mental Health Counselor 1850730961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 Crater Lake Ave
Suite 4
Medford, OR 97504-7482
Phone (541) 272-7674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Counseling Services, LLC Mental Health CurrentSince Mar 6, 2024 Accepting new patients

Locations

107 E Main St
Ste 8
Medford, OR 97501
Phone (541) 890-9714

24 Crater Lake Ave
Ste 4
Medford, OR 97504
Phone (405) 699-1104

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1043760986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 IVERN DR",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975023621",
            "telephone_number": "405-699-1104",
            "fax_number": "541-499-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CRATER LAKE AVE STE 4",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047482",
            "telephone_number": "405-699-1104",
            "fax_number": "541-499-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ALMYRA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.