Individual provider Active NPI

Jennifer Raquel Taylor-Perry, LPC

  • Counselor
  • Birch Run, MI
National Provider Identifier
1649957218
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401223475 Issued in MI
Practice address
5717 Birch Run Rd
Birch Run, MI 48415-8805
Phone
(928) 864-7222
NPI assigned
Jul 5, 2023
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401223475 MI Primary

Addresses

Primary practice location

5717 Birch Run Rd
Birch Run, MI 48415-8805

Mailing address

5717 Birch Run Rd
Birch Run, MI 48415-8805
Phone (928) 864-7222

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

State licenses

LicenseStateTypeSpecialty
6401223475MIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1649957218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 BIRCH RUN RD",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484158805",
            "telephone_number": "928-864-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 BIRCH RUN RD",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484158805",
            "telephone_number": "928-864-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-PERRY",
        "first_name": "JENNIFER",
        "middle_name": "RAQUEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401223475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birch Run, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.