Active NPI
John Perry, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1548673148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 54444
- Practice address
- 4131 Spicewood Springs Rd
Suite J-3
Austin, TX 78759-8661 - Phone
- (512) 915-2535
- NPI assigned
- Jun 11, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 54444 | TX | Primary |
Addresses
Primary practice location
4131 Spicewood Springs Rd
Suite J-3
Austin, TX 78759-8661
Mailing address
4131 Spicewood Springs Rd
Suite J-3
Austin, TX 78759-8661
Phone (512) 915-2535
Other names 1
- John Perry
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 |
|---|---|---|---|
| 54444 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Action | Current | Accepting new patients |
Locations
314 E Highland Mall Blvd
Ste 301
Austin, TX 78752
Phone (512) 444-9922
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.
-
- Counselor
- Austin, TX
- NPI 1578175576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454976000000",
"number": "1548673148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD",
"address_2": "SUITE J-3",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598661",
"telephone_number": "512-915-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD",
"address_2": "SUITE J-3",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598661",
"telephone_number": "512-915-2535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JOHN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-11",
"last_updated": "2016-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "54444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "PERRY",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.