Austin Perry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101867 Issued in CA

Practice address

427 S Marengo Ave Ste 6
Pasadena, CA 91101-3134

Phone

(626) 209-9747

NPI assigned

Oct 18, 2017

Sex

Male

Sole proprietor

Yes

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

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.

• Equip Psychological Corporation

  dba Equip

  • Mental Health Counselor
  • Pasadena, CA
  • NPI 1891370896
  NPD (past)

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1801307749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S MARENGO AVE STE 6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013134",
            "telephone_number": "626-209-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S MARENGO AVE STE 6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013134",
            "telephone_number": "626-209-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "AUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-18",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ACSW83081",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanita Tamu Perkins, LVN
• Rudy Perla
• Adam Perlis
• Sabrina Perrino
• Sandra Perrotta-Lutcher, MFT
• Jordan Perry, DPT
• Summer Nerissa Perry, PH.D, MFT
• Coland Person Jr.
• Marisa Peryer
• Peter Huang MFT

• Clinical Social Worker in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.