Karly Perkins, MA, LCAS-A, NCC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

26684 Issued in NC

Practice address

10348 Park Rd
Charlotte, NC 28210-8507

Phone

(704) 288-1097

NPI assigned

Oct 28, 2020

Last updated

Oct 28, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 2, 2024 through Feb 2, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meegan Tiffany Counseling PLLC

  dba ModernMind Counseling & Wellness

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1821606757
  NPD (past)
• The Blanchard Institute

  • Substance Abuse Rehabilitation Facility
  • Charlotte, NC
  • NPI 1134671399
  NPD (past)

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1770183857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10280 ROSE MEADOW LN UNIT 302",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778797",
            "telephone_number": "919-802-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10348 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108507",
            "telephone_number": "704-288-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "KARLY",
        "credential": "MA, LCAS-A, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "26684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie L. Perkins, CRNA
• David Mark Perkins, LCMHC
• Eugenia Maria Perkins, D.D.S.
• Heather Johns Perkins, FNP-C
• I-Janae Nicole Perkins
• Paul Christopher Perlik, MD
• Mark N Perlin, DDS
• Alan Perlitz
• Jason Perlman
• Permenter Chiropractic, Inc.

• Addiction (Substance Use Disorder) Counselor in Charlotte, NC
• Providers in Charlotte, 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 Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.