Individual provider Active NPI

Louis Anthony Perrott, PH.D.

  • Clinical Psychologist
  • Roanoke, VA
National Provider Identifier
1326090580
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810000857 Issued in VA
Practice address
3635 Manassas Dr
Roanoke, VA 24018-4031
Phone
(540) 989-8896
Fax
(540) 989-8893
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810000857 VA Primary

Addresses

Primary practice location

3635 Manassas Dr
Roanoke, VA 24018-4031

Mailing address

3635 Manassas Dr
Roanoke, VA 24018-4031
Phone (540) 989-8896

Other identifiers 3

IdentifierTypeStateIssuer
000663OtherVAVALUE OPTIONS
63781OtherVACIGNA
080252OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121218000448 VA Practitioner - Clinical Psychologist 0345432811 Practice locations: Roanoke, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3635 Manassas Dr
Roanoke, VA 24018-4031
Phone (540) 989-8896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810000857VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Onstead Counseling Services LLC Past Accepting new patients
Avery E Kerr Dmin LPC LLC PastSince Nov 10, 2024 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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1326090580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 MANASSAS DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184031",
            "telephone_number": "540-989-8896",
            "fax_number": "540-989-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 MANASSAS DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184031",
            "telephone_number": "540-989-8896",
            "fax_number": "540-989-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERROTT",
        "first_name": "LOUIS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "000663",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "63781",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "080252",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.