Individual provider Active NPI

Julia Alexandra-Saldana Perry, LPC

  • Mental Health Counselor
  • Gaylord, MI
National Provider Identifier
1336611904
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401019507 Issued in MI
Practice address
800 Livingston Blvd FL 2
Gaylord, MI 49735-8351
Phone
(989) 732-7558
NPI assigned
Dec 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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 6401019507 MI Primary

Addresses

Primary practice location

800 Livingston Blvd FL 2
Gaylord, MI 49735-8351

Mailing address

800 Livingston Blvd FL 2
Gaylord, MI 49735-8351
Phone (989) 732-7558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240105002188 MI Practitioner - Mental Health Counselor 8325499130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Country Community Mental HealthGroup PAC ID 8820052095, 18 clinicians

Practice addresses (Care Compare)

1420 Plaza Dr
Petoskey, MI 49770-9420
Phone (231) 347-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401019507MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adapt Chiropractic PLLC Current Accepting new patients
North Country Community Mental Health CurrentSince Jan 1, 2024 Accepting new patients
North Country Community Mental Health Past Accepting new patients

Locations

1420 Plaza Dr
Petoskey, MI 49770
Phone (231) 347-6701

Organizations & group practices 3

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": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1336611904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LIVINGSTON BLVD FL 2",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358351",
            "telephone_number": "989-732-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LIVINGSTON BLVD FL 2",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358351",
            "telephone_number": "989-732-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JULIA",
        "middle_name": "ALEXANDRA-SALDANA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401019507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.