Aquaya S Perry, MHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

116965 Issued in NY

Practice address

41B W Merrick Rd Ste 2
Valley Stream, NY 11580-5756

Phone

(516) 459-2920

Fax

(516) 285-1616

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Aquaya S Perry-Brooks Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1629791322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41A W MERRICK RD STE 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805708",
            "telephone_number": "516-459-2920",
            "fax_number": "516-285-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41B W MERRICK RD STE 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805756",
            "telephone_number": "516-459-2920",
            "fax_number": "516-285-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41B W Merrick Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115805756",
            "country_code": "US",
            "telephone_number": "516-459-2920",
            "fax_number": "516-285-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "AQUAYA",
        "middle_name": "S",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "116965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AQUAYA",
            "last_name": "PERRY-BROOKS",
            "middle_name": "S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.