Individual provider Active NPI

Laura Perino, P.C.C.

  • Mental Health Counselor
  • Rossford, OH
National Provider Identifier
1306040969
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E 00022990 Issued in OH
Practice address
1200 Dixie Hwy
Rossford, OH 43460-1406
Phone
(419) 662-5555
Fax
(419) 662-5547
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 E 00022990 OH Primary

Addresses

Primary practice location

1200 Dixie Hwy
Rossford, OH 43460-1406

Mailing address

868 Maple LN
Waterville, OH 43566-1127
Phone (419) 878-5392

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

LicenseStateTypeSpecialty
E 00022990OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jill M. Fox, MD, Inc Past Accepting new patients

Organizations & group practices 1

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306040969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 MAPLE LN",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435661127",
            "telephone_number": "419-878-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 DIXIE HWY",
            "city": "ROSSFORD",
            "state": "OH",
            "postal_code": "434601406",
            "telephone_number": "419-662-5555",
            "fax_number": "419-662-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERINO",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "P.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E 00022990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rossford, OH

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.

Verify at the official NPI Registry.