Dba Mark Perkins Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

10475091CDT Issued in MN

Legal business name

DBA MARK PERKINS COUNSELING

Practice address

1500 1St Ave NE
Suite 111-D
Rochester, MN 55906-4170

Phone

(507) 529-1758

Fax

(507) 289-1536

NPI assigned

Oct 10, 2007

Organization subpart

Yes

Parent organization

PERKINS ENTERPRISES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Mark Gregory Perkins, LADCNPI 1720276108

Title

Director

Phone

(507) 529-1758

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Dba Mark Perkins Counseling2 organizations share this tax ID, including this one

Part of

Dba Mark Perkins Counseling

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Perkins Enterprises, Inc.

  • Community/Behavioral Health Agency
  • Rochester, MN
  • NPI 1780923136
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Perkins Enterprises, Inc.

  • Community/Behavioral Health Agency
  • Rochester, MN
  • NPI 1780923136
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Gregory Perkins, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Rochester, MN
  • NPI 1720276108
  NPD (past) Authorized official

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1407044886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 68TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018862",
            "telephone_number": "507-529-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE NE",
            "address_2": "SUITE 111-D",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064170",
            "telephone_number": "507-529-1758",
            "fax_number": "507-289-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBA MARK PERKINS COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERKINS ENTERPRISES, INC.",
        "enumeration_date": "2007-10-10",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "507-529-1758",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "10475091CDT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407044886",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selena Dawson, LPCC, LADC
• Benjamin T Daxon, MD
• Jonathan Richard Day, MD, PHARMD
• Samantha Day, LCSW, LICSW, MSW
• Daystar Healthcare LLC
• DBM, LLC
• Rafael Ulysses De Azevedo, MD
• Stephen W De Boer, RD
• Sarah Marie Adamson De Cicco, M.D.
• Mitra Rose De Cogain, M.D.

• Community/Behavioral Health Agency in Rochester, MN
• Providers in Rochester, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.