Active NPI
Linda May Perry, LCSW
- Counselor
- Kenai, AK
National Provider Identifier
1104951300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 575
- Practice address
- 506 Lake St
Kenai, AK 99611-6937 - Phone
- (907) 283-7501
- Fax
- (907) 283-9006
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 575 | AK | Primary |
Addresses
Primary practice location
506 Lake St
Kenai, AK 99611-6937
Mailing address
506 Lake St
Kenai, AK 99611-6937
Phone (907) 283-7501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH0156 | Medicaid | AK |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 575 | AK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104951300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 LAKE ST",
"city": "KENAI",
"state": "AK",
"postal_code": "996116937",
"telephone_number": "907-283-7501",
"fax_number": "907-283-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 LAKE ST",
"city": "KENAI",
"state": "AK",
"postal_code": "996116937",
"telephone_number": "907-283-7501",
"fax_number": "907-283-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "LINDA",
"middle_name": "MAY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AK",
"license": "575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MH0156",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenai, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.