Active NPI
Daniel Thomas Perry Sr., MA, LPCA
- Professional Counselor
- Durham, NC
National Provider Identifier
1437407749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A9792
- Practice address
- 817 Broad Street
Durham, NC 27705 - Phone
- (434) 728-3197
- NPI assigned
- Aug 16, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | A9792 | NC | Primary |
Addresses
Primary practice location
817 Broad Street
Durham, NC 27705
Mailing address
3017 US Highway 70a E
Hillsborough, NC 27278-9543
Phone (434) 728-3197
Other practice location 1
2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
Phone (919) 251-9001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437407749 | Other | NC | NOT SURE |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A9792 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1437407749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 US HIGHWAY 70A E",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272789543",
"telephone_number": "434-728-3197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 BROAD STREET",
"city": "DURHAM",
"state": "NC",
"postal_code": "27705",
"telephone_number": "434-728-3197"
}
],
"practiceLocations": [
{
"address_1": "2670 Durham Chapel Hill Blvd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277072829",
"country_code": "US",
"telephone_number": "919-251-9001",
"fax_number": "919-251-9008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRY",
"first_name": "DANIEL",
"middle_name": "THOMAS",
"name_suffix": "Sr.",
"credential": "MA, LPCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-16",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A9792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOT SURE",
"identifier": "1437407749",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.