NPIMap

Individual provider Active NPI

Annette O. Perry, LPC, NCC

  • Professional Counselor
  • St. Marys, GA
National Provider Identifier
1316215775
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC003293 Issued in GA
Practice address
4019 Hwy 40 East
St. Marys, GA 31558
Phone
(912) 267-0774
Fax
(912) 267-9552
NPI assigned
Dec 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC003293 GA Primary

Addresses

Primary practice location

4019 Hwy 40 East
St. Marys, GA 31558

Mailing address

P.O. Box 338
7 St. Andrews CT.
Brunswick, GA 31521
Phone (912) 267-0774

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
LPC003293GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
M.J. Martelli, M.D. Past Accepting new patients
Marc W. Eaton, PH.D., P.C. Past Accepting new patients

Organizations & group practices 2

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": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1316215775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 338",
            "address_2": "7 ST. ANDREWS CT.",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31521",
            "telephone_number": "912-267-0774",
            "fax_number": "912-267-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 HWY 40 EAST",
            "city": "ST. MARYS",
            "state": "GA",
            "postal_code": "31558",
            "telephone_number": "912-267-0774",
            "fax_number": "912-267-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ANNETTE",
        "middle_name": "O.",
        "name_prefix": "Ms.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.