Misty A Perry, LCSW, CACIII

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW00002024 Issued in CO

Practice address

2255 Midpoint Dr
Fort Collins, CO 80525-4306

Phone

(970) 498-7488

NPI assigned

Feb 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Larimer County

  • Substance Abuse Rehabilitation Facility
  • Fort Collins, CO
  • NPI 1548451339
  NPD (past) Authorized official
• Larimer County

  • Substance Abuse Rehabilitation Facility
  • Fort Collins, CO
  • NPI 1184499675
  NPD

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1760074686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 MIDPOINT DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254306",
            "telephone_number": "970-498-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 MIDPOINT DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254306",
            "telephone_number": "970-498-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MISTY",
        "middle_name": "A",
        "credential": "LCSW, CACIII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC0006921",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW00002024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Perrin, APN-CNS
• Lori Ann Perrin, PH.D.
• Tami Perrin, BSN, CNOR, RNFA
• Katherine Perrine
• Joselyne Marie Perry, PHD
• Raelee Perry, RBT
• Todd C Perry, MSPT
• Erik R. Perschau, D.O.
• Persons in Progress
• Austin M Persons

• Clinical Social Worker in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.