Jacqueline Escano Perry, L.P.C., N.C.C.H

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

879 Issued in NC

Practice address

263 3Rd Avenue NW
Hickory, NC 28601

Phone

(828) 322-4941

NPI assigned

Oct 3, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Cornerstone Counseling Center

  • Psychologist
  • Hickory, NC
  • NPI 1306178579
  NPD (past)
• Cornerstone Counseling Center

  • Professional Counselor
  • Hickory, NC
  • NPI 1740371491
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750476149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 2ND ST DR NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28601",
            "telephone_number": "828-441-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 3RD AVENUE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28601",
            "telephone_number": "828-322-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JACQUELINE",
        "middle_name": "ESCANO",
        "name_prefix": "Mrs.",
        "credential": "L.P.C., N.C.C.H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "1171A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102257",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reba F Pennell, B.S.N., Q.P.
• Todd Pennell, FNP
• Emily Perez Sierra
• Aimee E Perkins, S.L.P.
• Theresa Marie Perrin, RD,LDN,CDE
• Fariha Peters, OD
• John L Peterson, MD
• Robert L Peterson, M.D.
• Thomas McKeel Peterson, DDS
• Kathryn Petriella, OT/R

• Mental Health Counselor in Hickory, NC
• Providers in Hickory, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.