Individual provider Active NPI

Micah Perkins, L.P.C.

  • Mental Health Counselor
  • Edmond, OK
National Provider Identifier
1306974803
Registry record updated Apr 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2498 Issued in OK
Practice address
1300 E 9TH St
Suite #5
Edmond, OK 73034-5756
Phone
(405) 625-6785
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2011

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 2498 OK Primary

Addresses

Primary practice location

1300 E 9TH St
Suite #5
Edmond, OK 73034-5756

Mailing address

1300 E 9TH St
Suite #5
Edmond, OK 73034-5756
Phone (405) 625-6785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 6, 2025 through Jan 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2498OKMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Edmond Counseling & Professional Development, LLC 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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302998400000",
    "number": "1306974803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E 9TH ST",
            "address_2": "SUITE #5",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345756",
            "telephone_number": "405-625-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 9TH ST",
            "address_2": "SUITE #5",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345756",
            "telephone_number": "405-625-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "MICAH",
        "name_prefix": "Mr.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.