Active NPI
Roderick Perry
- Mental Health Counselor
- Ormond Beach, FL
National Provider Identifier
1245770841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 208 Booth Rd
Ste C&D
Ormond Beach, FL 32174-5717 - Phone
- (386) 256-4118
- NPI assigned
- Mar 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
208 Booth Rd
Ste C&D
Ormond Beach, FL 32174-5717
Mailing address
208 Booth Rd
Ste C&D
Ormond Beach, FL 32174-5717
Phone (386) 256-4118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1245770841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 BOOTH RD",
"address_2": "STE C&D",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745717",
"telephone_number": "386-256-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 BOOTH RD",
"address_2": "STE C&D",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745717",
"telephone_number": "386-256-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "RODERICK",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-01",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
- Camila Perez-Albert, OTR/L, DPT
- Performance Chiropractic of Ormond Beach, LLC
- Performance Physical Therapy & Rehab of Ormond Beach, LLC
- Sydney Perkins
- Gayle E Perry, CRNA
- Tokay Perugia, LCSW
- Brian Michael Peterson, O.D.
- Savanna M. Peterson, DMD
- Marcia Kay Peterzell, APRN
- Lawrence Richard Petker, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.