Elizabeth R. Perry, M.A., LPC, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6121 Issued in SC

Practice address

115 Alberta Dr
Woodruff, SC 29388-9133

Phone

(864) 569-6375

NPI assigned

May 6, 2015

Last updated

Feb 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Ohio Valley Physicians Inc

  dba Access Care

  • Family Medicine Physician
  • Huntington, WV
  • NPI 1962433177
  NPD (past)

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1083091300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 E MAIN ST STE C14",
            "address_2": "PMB 104",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293342653",
            "telephone_number": "864-569-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ALBERTA DR",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293889133",
            "telephone_number": "864-569-6375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 W Broad St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293063234",
            "country_code": "US",
            "telephone_number": "864-582-7588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "243 E Blackstock Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293012653",
            "country_code": "US",
            "telephone_number": "864-670-5407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ELIZABETH",
        "middle_name": "R.",
        "credential": "M.A., LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parker Road Drugs, Inc. (Parker Medical Equipment)
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• Patton Pharmacy, Inc.
• Tiffany Lynn Paxton
• Kaley Ellyn Peek, D.M.D.
• Piedmont Pediatrics LLC
• Piedmont Pediatrics LLC
• Premise Health of South Carolina Medical PC (Industrial Health Services - Battery Plant)
• Primary Spine and Injury Corp
• Prime Dental of Woodruff

• Professional Counselor in Woodruff, SC
• Providers in Woodruff, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.