Individual provider Active NPI

Anna Marie Perry, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Youngstown, OH
National Provider Identifier
1669112587
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
180134 Issued in OH
Practice address
4531 Belmont Ave Ste 12
Youngstown, OH 44505-1041
Phone
(866) 285-3408
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 180134 OH Primary

Addresses

Primary practice location

4531 Belmont Ave Ste 12
Youngstown, OH 44505-1041

Mailing address

4531 Belmont Ave Ste 12
Youngstown, OH 44505-1041
Phone (866) 285-3408

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL annamp12393@gmail.com

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
180134OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1669112587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 BELMONT AVE STE 12",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051041",
            "telephone_number": "866-285-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 BELMONT AVE STE 12",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051041",
            "telephone_number": "866-285-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "180134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "annamp12393@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "431 Grant St",
            "city": "Mc Donald",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444371910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.