Active NPI
Pamela Perry
- Mental Health Counselor
- Benton, AR
National Provider Identifier
1710303185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3214 Winchester
Benton, AR 72015-2929 - Phone
- (501) 326-6160
- Fax
- (501) 326-6161
- NPI assigned
- Mar 10, 2014
- Last updated
- Mar 10, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
3214 Winchester
Benton, AR 72015-2929
Mailing address
3 Wimbledon Green Cir Apt 323
Little Rock, AR 72210-4163
Phone (870) 270-8557
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394409600000",
"number": "1710303185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WIMBLEDON GREEN CIR APT 323",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722104163",
"telephone_number": "870-270-8557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3214 WINCHESTER",
"city": "BENTON",
"state": "AR",
"postal_code": "720152929",
"telephone_number": "501-326-6160",
"fax_number": "501-326-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-10",
"last_updated": "2014-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.