Justin Lloyd Perry, LCSW, LCAS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C007304 Issued in NC

Practice address

100 Billingsley Road
Anuvia Prevention and Recovery Center, Inc.
Charlotte, NC 28211-1072

Phone

(704) 376-7447

Fax

(704) 376-3384

NPI assigned

Jun 30, 2009

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Perry Counseling Healing and Recovery PLLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1508488917
  NPD Authorized official

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1316175201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BILLINGSLEY ROAD",
            "address_2": "ANUVIA PREVENTION AND RECOVERY CENTER, INC.",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111072",
            "telephone_number": "704-376-7447",
            "fax_number": "704-376-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BILLINGSLEY ROAD",
            "address_2": "ANUVIA PREVENTION AND RECOVERY CENTER, INC.",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111072",
            "telephone_number": "704-376-7447",
            "fax_number": "704-376-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JUSTIN",
        "middle_name": "LLOYD",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "P005119",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "C007304",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "1529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deondra Perry, RBT
• Elizabeth Marshall Perry, M.D.
• Glenn Bradford Perry, MD
• Jennifer Joy Perry, FNP
• Jonathan David Perry, M.D.
• Karen Perry, M.A., L.P.C.A.
• Karlee Jennifer Perry, LCSWA
• Kenya Perry
• Kristen Perry, LCMHC-A
• Leeanna Perry, LMFT

• Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.