Individual provider Active NPI

Jenny Lynne Perham, LCSW,CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Washington, DC
National Provider Identifier
1336204965
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1199-04 Issued in HI
Practice address
6900 Georgia Ave NW
BLDG 6, Floor 2, Wramc
Washington, DC 20307-0003
Phone
(202) 782-3969
Fax
(202) 782-7589
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1199-04 HI Primary
Clinical Social Worker 1041C0700X 3131 HI

Addresses

Primary practice location

6900 Georgia Ave NW
BLDG 6, Floor 2, Wramc
Washington, DC 20307-0003

Mailing address

PO Box 26003
Arlington, VA 22215-6003
Phone (571) 275-0247

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
1199-04HIMDAddiction (Substance Use Disorder) Counselor
3131HIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1336204965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26003",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222156003",
            "telephone_number": "571-275-0247",
            "fax_number": "703-521-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 GEORGIA AVE NW",
            "address_2": "BLDG 6, FLOOR 2, WRAMC",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203070003",
            "telephone_number": "202-782-3969",
            "fax_number": "202-782-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERHAM",
        "first_name": "JENNY",
        "middle_name": "LYNNE",
        "credential": "LCSW,CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "1199-04",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.