Organization Active NPI

Jessica R. Perry, LLC

  • Clinical Social Worker
  • Lakewood, OH
National Provider Identifier
1548158397
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JESSICA R. PERRY, LLC
Practice address
14805 Detroit Ave Ste 520
Lakewood, OH 44107-3932
Phone
(216) 202-0506
NPI assigned
Jun 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Jessica R Perry, LISW-SNPI 1881386738
Title
Owner
Phone
(216) 202-0506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

14805 Detroit Ave Ste 520
Lakewood, OH 44107-3932

Mailing address

14805 Detroit Ave Ste 520
Lakewood, OH 44107-3932
Phone (216) 202-0506

Other practice location 1

21250 Beachwood Dr
Rocky River, OH 44116-2123
Phone (216) 202-0506

Other names 1

  • Jess Perry Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1548158397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 DETROIT AVE STE 520",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073932",
            "telephone_number": "216-202-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14805 DETROIT AVE STE 520",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073932",
            "telephone_number": "216-202-0506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21250 Beachwood Dr",
            "address_purpose": "LOCATION",
            "city": "Rocky River",
            "state": "OH",
            "postal_code": "441162123",
            "country_code": "US",
            "telephone_number": "216-202-0506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JESSICA R. PERRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-202-0506",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jess Perry Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jess Perry Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.