Chari Jean Perce

Individual provider Active NPI Marriage & Family Therapist · Durango, CO

NPI 1689010225 · NPPES record last updated Feb 28, 2022

Key facts

NPI
1689010225
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
93495 (CA)
Practice address
250 Sunset LN
Durango, CO 81301-8385
Phone
(707) 975-1330
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20241112000387 CO Practitioner - Marriage and Family Therapist 4880128024 Practice locations: Durango, CO

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
93495CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Bay Child and Family Counseling, Inc. Marriage & Family Therapist Current
since May 16, 2022
Accepting new patients
Animas Valley Counseling, LLC Marriage & Family Therapist Current
since Mar 6, 2022
Accepting new patients
Animas Valley Counseling of New Mexico, LLC Marriage & Family Therapist Current
since Oct 8, 2023
Accepting new patients

Locations

3436 Mendocino Ave
Ste B
Santa Rosa, CA 95403
Phone (707) 200-4211

1911 Main Ave
Ste 212
Durango, CO 81301
Phone (970) 403-5860

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 93495 CA Yes
Counselor 101Y00000X

Addresses

Primary practice location

250 Sunset LN
Durango, CO 81301-8385

Mailing address

250 Sunset LN
Durango, CO 81301-8385
Phone (707) 975-1330

Other practice location 1

3436 Mendocino Ave Ste B
Santa Rosa, CA 95403-2180
Phone (707) 200-4211

Other providers in Durango, CO

All providers in Durango, CO · Marriage & Family Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.