Antonia Evette Perkins

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

NC25714 Issued in NC

Practice address

806 Bell Fork Rd
Jacksonville, NC 28540-6312

Phone

(910) 347-2205

NPI assigned

Sep 25, 2020

Last updated

Sep 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1699382408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 BELL FORK RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285406312",
            "telephone_number": "910-347-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 BELL FORK RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285406312",
            "telephone_number": "910-347-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "ANTONIA",
        "middle_name": "EVETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "NC25714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• People of Potential, Inc
• Kassidy Perdun
• Eduardo Perez
• Katherine Perez, PHD
• Tracy Rebecca Ray Perez, MS, LCMHC
• Earnest Andrew Perry Sr.
• Karlee Perry
• Kimberly Perry
• Trea Lachelle Perry, CSAC
• James Edward Peterman, RPH

• Addiction (Substance Use Disorder) Counselor in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.