Active NPI
Andrea Perkins, LPC
- Professional Counselor
- Cedar Bluff, VA
National Provider Identifier
1487250585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 701009786
- Practice address
- 1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190 - Phone
- (276) 963-0111
- NPI assigned
- Dec 5, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 701009786 | VA | Primary |
Addresses
Primary practice location
1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190
Mailing address
1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190
Phone (276) 963-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 701009786 | Other | VA | STATE LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 701009786 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607126400000",
"number": "1487250585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 CEDAR VALLEY DR",
"city": "CEDAR BLUFF",
"state": "VA",
"postal_code": "246099190",
"telephone_number": "276-963-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 CEDAR VALLEY DR",
"city": "CEDAR BLUFF",
"state": "VA",
"postal_code": "246099190",
"telephone_number": "276-963-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "ANDREA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-05",
"last_updated": "2020-12-05",
"certification_date": "2020-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "701009786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "701009786",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Bluff, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.