Individual provider Active NPI

David Paul Perlaki, M.A. P.C.C

  • Professional Counselor
  • West Chester, OH
National Provider Identifier
1639238157
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0500083 Issued in OH
Practice address
8080 Beckett Center Dr
Suite 325
West Chester, OH 45069-5026
Phone
(513) 893-7000
Fax
(513) 893-7111
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0500083 OH Primary

Addresses

Primary practice location

8080 Beckett Center Dr
Suite 325
West Chester, OH 45069-5026

Mailing address

5309 Dellbrook Dr
Fairfield, OH 45014-3319
Phone (513) 893-7000

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E0500083OHMDProfessional Counselor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639238157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 DELLBROOK DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450143319",
            "telephone_number": "513-893-7000",
            "fax_number": "513-893-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 BECKETT CENTER DR",
            "address_2": "SUITE 325",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450695026",
            "telephone_number": "513-893-7000",
            "fax_number": "513-893-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLAKI",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "credential": "M.A. P.C.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0500083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.