Jordan Lethommius Perry

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PLC8804 Issued in LA

Practice address

318 W Louisiana Ave Lot 8
Ruston, LA 71270-9304

Phone

(318) 840-9287

NPI assigned

Jul 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1235863556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W LOUISIANA AVE LOT 8",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712709304",
            "telephone_number": "318-840-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W LOUISIANA AVE LOT 8",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712709304",
            "telephone_number": "318-840-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JORDAN",
        "middle_name": "LETHOMMIUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "PLC8804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geralyn Perez
• Sharon Perkins, MA
• Valerie Perot, M.ED., LPC
• Charli Perry, CI
• Cynthia A Perry, MASTER OF SCIENCE
• Ashley Nicole Peters, MS, LDN, RD
• Maria Ann Peterson
• Perry Petite
• Van Phillips Jr
• Kambri Phillips

• Professional Counselor in Ruston, LA
• Providers in Ruston, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.