Individual provider Active NPI

Kathryn Neff Perry, LMHC

  • Mental Health Counselor
  • Avon Park, FL
National Provider Identifier
1356997902
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22039 Issued in FL
Practice address
2600 N Highlands Blvd BLDG 1000
Avon Park, FL 33825-9331
Phone
(863) 257-2992
NPI assigned
Aug 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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 MH22039 FL Primary

Addresses

Primary practice location

2600 N Highlands Blvd BLDG 1000
Avon Park, FL 33825-9331

Mailing address

1004 N Anoka Ave
Avon Park, FL 33825-2506
Phone (863) 257-3346

Other practice location 1

1004 N Anoka Ave
Avon Park, FL 33825-2506
Phone (863) 257-3346

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kathrynneffperry@yahoo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231201000077 FL Practitioner - Mental Health Counselor 3678930708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1004 N Anoka Ave
Avon Park, FL 33825-2506

2600 N Highlands Blvd
Building 1000
Avon Park, FL 33825-2506
Phone (863) 257-2992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Footprints in the Sand Counseling Services, LLC Mental Health CurrentSince May 8, 2023 Accepting new patients

Locations

2600 N Highlands Blvd
Bldg 1000
Avon Park, FL 33825
Phone (863) 257-2992

2600 N Highlands Blvd
Avon Park, FL 33825

Organizations & group practices 1

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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1356997902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 N ANOKA AVE",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252506",
            "telephone_number": "863-257-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N HIGHLANDS BLVD BLDG 1000",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259331",
            "telephone_number": "863-257-2992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 N Anoka Ave",
            "address_purpose": "LOCATION",
            "city": "Avon Park",
            "state": "FL",
            "postal_code": "338252506",
            "country_code": "US",
            "telephone_number": "863-257-3346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KATHRYN",
        "middle_name": "NEFF",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kathrynneffperry@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1004 N Anoka Ave",
            "city": "Avon Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338252506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

Verify at the official NPI Registry.