Jacqueline Grant Perin, LPC-INTERN

Primary specialty

CounselorTaxonomy code 101Y00000X

License

83072 Issued in TX

Practice address

900 Lovett Blvd
Houston, TX 77006-3908

Phone

(713) 470-9878

NPI assigned

Mar 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1427683002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LOVETT BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063908",
            "telephone_number": "713-470-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LOVETT BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063908",
            "telephone_number": "713-470-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIN",
        "first_name": "JACQUELINE",
        "middle_name": "GRANT",
        "name_prefix": "Mrs.",
        "credential": "LPC-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "83072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS",
            "identifier": "83072",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jackie@tghelovettcenter.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 Lovett Blvd",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770063908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Performance Pain and Sports Medicine, PLLC
• Santhi Periasamy, PH.D.
• Stephanie Marie Perillo, M.A.
• Steven Kyle Perilman, MD
• Emerson C Perin, M.D.
• Rahsheda Perine, PHD
• Shiny Saji Perinjelil, FNP
• Perio Health Professionals, PLLC
• Periodontal Associates of Greater Houston
• Periodontal Implants of Bellaire

• Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.