Clark Gerald Perkins, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC 595 Issued in SD

Practice address

1431 7TH St
Brookings, SD 57006-1619

Phone

(605) 691-7630

Fax

(605) 692-4906

NPI assigned

Jun 5, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1649650565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 7TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061619",
            "telephone_number": "605-691-7630",
            "fax_number": "605-692-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 7TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061619",
            "telephone_number": "605-691-7630",
            "fax_number": "605-692-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "CLARK",
        "middle_name": "GERALD",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC 595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Osterberg
• Amber Overby, CRNA
• Brooke Pape Johnson, LCSW, MSW
• Trevor A Penning, D.C.
• Fernando Miguel Perez, ATC
• Jacalyn Person, CSW-PIP
• Alyssa Dawn Peterson, PA-C
• Sara Ruth Peterson, DPT
• Brian L Piearson, OD
• Pietz-Coats Optometry Inc

• Mental Health Counselor in Brookings, SD
• Providers in Brookings, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.