Active NPI
Karissa Ann Perchinsky
- Student in an Organized Health Care Education/Training Program
- Morgantown, WV
National Provider Identifier
1568079119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 161 Bakers Ridge Rd
Morgantown, WV 26508-1459 - Phone
- (304) 285-0692
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | WV | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
161 Bakers Ridge Rd
Morgantown, WV 26508-1459
Mailing address
661 Vanceville Rd
Eighty Four, PA 15330-1941
Phone (724) 953-5203
Other practice location 1
410 Terrace Dr
Uniontown, PA 15401-8991
Phone (724) 438-6000
Other names 1
- Karissa Gondak
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1568079119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 VANCEVILLE RD",
"city": "EIGHTY FOUR",
"state": "PA",
"postal_code": "153301941",
"telephone_number": "724-953-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 BAKERS RIDGE RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265081459",
"telephone_number": "304-285-0692"
}
],
"practiceLocations": [
{
"address_1": "410 Terrace Dr",
"address_purpose": "LOCATION",
"city": "Uniontown",
"state": "PA",
"postal_code": "154018991",
"country_code": "US",
"telephone_number": "724-438-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERCHINSKY",
"first_name": "KARISSA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARISSA",
"last_name": "GONDAK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.