Active NPI
Amber Marie Perrorazio
- Mental Health Counselor
- Bayboro, NC
National Provider Identifier
1255949251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A15787
- Practice address
- 13814 NC Highway 55
Bayboro, NC 28515-9108 - Phone
- (770) 778-5644
- NPI assigned
- Jul 16, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A15787 | NC | |
| Mental Health Counselor | 101YM0800X | A15787 | NC | Primary |
Addresses
Primary practice location
13814 NC Highway 55
Bayboro, NC 28515-9108
Mailing address
216 Gold Leaf Dr
Hampstead, NC 28443-3586
Phone (770) 778-5644
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 |
|---|---|---|---|
| A15787 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1255949251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 GOLD LEAF DR",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284433586",
"telephone_number": "770-778-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13814 NC HIGHWAY 55",
"city": "BAYBORO",
"state": "NC",
"postal_code": "285159108",
"telephone_number": "770-778-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRORAZIO",
"first_name": "AMBER",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A15787",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A15787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.