Christopher M Perry, L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2012-C Issued in AR

Practice address

10810 Executive Center Dr
Suite 303
Little Rock, AR 72211-4354

Phone

(501) 312-7578

NPI assigned

Oct 23, 2007

Last updated

Oct 23, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Professional Counseling Associates Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, AR
  • NPI 1053934703
  NPD (past)
• Professional Counseling Associates Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lonoke, AR
  • NPI 1356965990
  NPD (past)
• Professional Counseling Associates Inc.

  • Community/Behavioral Health Agency
  • North Little Rock, AR
  • NPI 1437164977
  NPD (past)
• Senior Resolution Resources, Inc

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1760453914
  NPD (past)
• Senior Resolution Resources, Inc.

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1841218393
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1073702353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 EXECUTIVE CENTER DR",
            "address_2": "SUITE 303",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114354",
            "telephone_number": "501-312-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 EXECUTIVE CENTER DR",
            "address_2": "SUITE 303",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114354",
            "telephone_number": "501-312-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2012-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR LCSW LICENSE NUMBER",
            "identifier": "2012-C",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Shawn Perritt, MHPP
• L. Perrot, MD
• Jasmine Perry-Burton, QBHP
• Barbara Gennice Perry, M.D.
• Bobby Dean Perry, M.D.
• Jennifer Leigh Perry, PHARMD
• Jennifer Lynn Perry, M.D.
• Kari Sue Perry, RN,ADN
• Merquayle Perry
• Robert Wayne Perry, CRNA

• Clinical Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.