Active NPI
Perry Emerick
- Counselor
- Scottsdale, AZ
National Provider Identifier
1356097448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LAC-18273
- Practice address
- 1717 N 77TH St
Scottsdale, AZ 85257-2238 - Phone
- (480) 861-9002
- NPI assigned
- Feb 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC-18273 | AZ | Primary |
Addresses
Primary practice location
1717 N 77TH St
Scottsdale, AZ 85257-2238
Mailing address
5019 E Glencove St
Mesa, AZ 85205-3473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective May 17, 2024 through May 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-18273 | AZ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645920000000",
"number": "1356097448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5019 E GLENCOVE ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852053473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 N 77TH ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852572238",
"telephone_number": "480-861-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERICK",
"first_name": "PERRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-27",
"last_updated": "2022-02-27",
"certification_date": "2022-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC-18273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.