Individual provider Active NPI

Aubrey Kathryn Perin, LPC-MHSP

  • Mental Health Counselor
  • Chattanooga, TN
National Provider Identifier
1841884830
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5403 Issued in TN
Practice address
3505 Brainerd Rd Ste 1
Chattanooga, TN 37411-2709
Phone
(423) 521-5678
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 5403 TN Primary

Addresses

Primary practice location

3505 Brainerd Rd Ste 1
Chattanooga, TN 37411-2709

Mailing address

207 S Saint Marks Ave
Chattanooga, TN 37411-4862
Phone (540) 336-5385

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
5403TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Psychotherapy Center Multi-Specialty PastSince May 1, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1841884830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S SAINT MARKS AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374114862",
            "telephone_number": "540-336-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 BRAINERD RD STE 1",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374112709",
            "telephone_number": "423-521-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIN",
        "first_name": "AUBREY",
        "middle_name": "KATHRYN",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "5403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.