Active NPI
Jaimie Lynn Perry-Hudson, LCPC-C
- Professional Counselor
- Old Orchard Beach, ME
National Provider Identifier
1699198630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- XL4303
- Practice address
- 10 Traynor St Apt 4
Old Orchard Beach, ME 04064-2956 - Phone
- (207) 906-6986
- NPI assigned
- Jan 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | XL4303 | ME | Primary |
Addresses
Primary practice location
10 Traynor St Apt 4
Old Orchard Beach, ME 04064-2956
Mailing address
10 Traynor St Apt 4
Old Orchard Beach, ME 04064-2956
Phone (207) 906-6986
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
| License | State | Type | Specialty |
|---|---|---|---|
| XL4303 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1699198630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 TRAYNOR ST APT 4",
"city": "OLD ORCHARD BEACH",
"state": "ME",
"postal_code": "040642956",
"telephone_number": "207-906-6986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 TRAYNOR ST APT 4",
"city": "OLD ORCHARD BEACH",
"state": "ME",
"postal_code": "040642956",
"telephone_number": "207-906-6986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY-HUDSON",
"first_name": "JAIMIE",
"middle_name": "LYNN",
"credential": "LCPC-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL4303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Orchard Beach, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.