Active NPI
Shoshana Perr, LCSW
- Counselor
- Far Rockaway, NY
National Provider Identifier
1093911075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 28809
- Practice address
- 806 Roosevelt Court
Far Rockaway, NY 11691 - Phone
- (718) 471-7993
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 28809 | NY | Primary |
| Marriage & Family Therapist | 106H00000X | 28809 | NY |
Addresses
Primary practice location
806 Roosevelt Court
Far Rockaway, NY 11691
Mailing address
806 Roosevelt Court
Far Rockaway, NY 11691
Phone (718) 471-7993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8081462 | Other | NY | EMPIRE BLUE CROSS BLUE SH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28809 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1093911075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 ROOSEVELT COURT",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "11691",
"telephone_number": "718-471-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 ROOSEVELT COURT",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "11691",
"telephone_number": "718-471-7993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERR",
"first_name": "SHOSHANA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "28809",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "28809",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SH",
"identifier": "8081462",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.