Active NPI
Whitany D Perry
- Clinical Social Worker
- Brandon, MS
National Provider Identifier
1477042877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14597
- Practice address
- 304 Flagstone Dr
Brandon, MS 39042-6065 - Phone
- (601) 597-1315
- NPI assigned
- May 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | C11116 | MS | |
| Clinical Social Worker | 1041C0700X | 14597 | LA | Primary |
Addresses
Primary practice location
304 Flagstone Dr
Brandon, MS 39042-6065
Mailing address
304 Flagstone Dr
Brandon, MS 39042-6065
Phone (601) 597-1315
Other practice location 1
1150 Reservoir Ave Ste 203
Cranston, RI 02920-6032
Phone (401) 259-0340
Other practice location 2
1701 White St
McComb, MS 39648-2711
Phone (601) 249-4217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1150 Reservoir Ave
Suite 203
Cranston, RI 02920-6057
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14597 | LA | MD | Clinical Social Worker |
| C11116 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Counseling Associates LLC | Mental Health | Current | Accepting new patients |
Locations
1150 Reservoir Ave
Ste 203
Cranston, RI 02920
Phone (401) 259-0340
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.
-
- Mental Health Counselor
- Cranston, RI
- NPI 1336638303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1477042877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 FLAGSTONE DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390426065",
"telephone_number": "601-597-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 FLAGSTONE DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390426065",
"telephone_number": "601-597-1315"
}
],
"practiceLocations": [
{
"address_1": "1150 Reservoir Ave Ste 203",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029206032",
"country_code": "US",
"telephone_number": "401-259-0340",
"fax_number": "401-213-8538",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 White St",
"address_purpose": "LOCATION",
"city": "McComb",
"state": "MS",
"postal_code": "396482711",
"country_code": "US",
"telephone_number": "601-249-4217",
"fax_number": "601-249-4234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRY",
"first_name": "WHITANY",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C11116",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "14597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.