Individual provider Active NPI

Thomas Leigh Perkins, LPC, MS

  • Mental Health Counselor
  • Medford, OR
National Provider Identifier
1124546858
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C7867 Issued in OR
Practice address
815 E Jackson St
Medford, OR 97504-6713
Phone
(541) 245-2787
NPI assigned
Sep 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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 C7867 OR Primary

Addresses

Primary practice location

815 E Jackson St
Medford, OR 97504-6713

Mailing address

815 E Jackson St
Medford, OR 97504-6713
Phone (541) 245-2787

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
I20240311000034 OR Practitioner - Mental Health Counselor 2365888526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C7867ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Counseling Center, LLC Mental Health CurrentSince Jan 28, 2024 Accepting new patients
Hutter & Seeley Psychological Services, P.C. PastSince Sep 23, 2021 Accepting new patients
Phoenix Counseling Center, Inc. Past Accepting new patients

Locations

815 E Jackson St
Medford, OR 97504
Phone (541) 245-2787

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/phoenixcounseling/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1124546858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046713",
            "telephone_number": "541-245-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046713",
            "telephone_number": "541-245-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "THOMAS",
        "middle_name": "LEIGH",
        "credential": "LPC, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-01",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.