Tiara F Perkins

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1108-2-1-21-543 Issued in ND

Practice address

2624 9TH Ave S
Fargo, ND 58103

Phone

(701) 298-4500

Fax

(701) 298-4400

NPI assigned

Mar 27, 2018

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. Sophie'S, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Fargo, ND
  • NPI 1336443654
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1669977252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 9TH AVE SE",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580724316",
            "telephone_number": "516-582-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 9TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58103",
            "telephone_number": "701-298-4500",
            "fax_number": "701-298-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "TIARA",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1108-2-1-21-543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1474182",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Pepera, LBSW
• Boris M Perencevic, MD
• Heather J Perez
• John Gabriel Perez, LPCC-S
• Sarah E Perkerewicz, PT, DPT
• Kylie Perleberg
• Stephanie Marie Perreault, PHARM.D.
• Personal Nutrition & Wellness Inc
• Nancy Ellen Persons, MED/LAC
• Ali Pervaiz, M.D.

• Professional Counselor in Fargo, ND
• Providers in Fargo, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.