Individual provider Active NPI

Megan Lynn Perioli, LMHC

  • Mental Health Counselor
  • Manlius, NY
National Provider Identifier
1790052017
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006471 Issued in NY
Practice address
8219 Market PL BLDG 10
Manlius, NY 13104
Phone
(315) 692-2008
NPI assigned
Dec 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 006471 NY Primary

Addresses

Primary practice location

8219 Market PL BLDG 10
Manlius, NY 13104

Mailing address

61 N Main St
Homer, NY 13077-1117
Phone (315) 783-6986

Other practice location 1

6221 State Route 31
Suite 110
Cicero, NY 13039-8715
Phone (315) 342-9255

Other practice location 2

6221 State Route 31
Suite 110
Cicero, NY 13039-8715
Phone (315) 342-9255

Other names 1

  • Ms. Megan Lynn Lortie Former name

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

State licenses

LicenseStateTypeSpecialty
006471NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Move With Me, LLC CurrentSince Oct 6, 2019 Accepting new patients
Integrative Mental Health Counseling Services, PLLC Mental Health Past Accepting new patients

Locations

8219 Market Pl
Bldg 10
Manlius, NY 13104
Phone (315) 692-2008

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1790052017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 N MAIN ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771117",
            "telephone_number": "315-783-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8219 MARKET PL BLDG 10",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "13104",
            "telephone_number": "315-692-2008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6221 State Route 31",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "NY",
            "postal_code": "130398715",
            "country_code": "US",
            "telephone_number": "315-342-9255",
            "fax_number": "866-323-6619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6221 State Route 31",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "NY",
            "postal_code": "130398715",
            "country_code": "US",
            "telephone_number": "315-342-9255",
            "fax_number": "866-323-6619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERIOLI",
        "first_name": "MEGAN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "LORTIE",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manlius, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.