Active NPI
Wesley G Perdue, MS, LPC
- Professional Counselor
- Tempe, AZ
National Provider Identifier
1376649376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-10598
- Practice address
- 1151 S Forest Ave
Tempe, AZ 85281 - Phone
- (480) 965-6146
- Fax
- (480) 965-3426
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-10598 | AZ | Primary |
Addresses
Primary practice location
1151 S Forest Ave
Tempe, AZ 85281
Mailing address
385 E Coronado Rd
Unit #2
Phoenix, AZ 85004-1504
Phone (602) 369-8720
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-10598 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1376649376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 E CORONADO RD",
"address_2": "UNIT #2",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041504",
"telephone_number": "602-369-8720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 S FOREST AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85281",
"telephone_number": "480-965-6146",
"fax_number": "480-965-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERDUE",
"first_name": "WESLEY",
"middle_name": "G",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-10598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.