Individual provider Active NPI

Karin Rene' Perry

  • Professional Counselor
  • Ridgeland, MS
National Provider Identifier
1851693014
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1873 Issued in MS
Practice address
401 Fontaine PL
Suite 101
Ridgeland, MS 39157-5227
Phone
(601) 383-1065
NPI assigned
Nov 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1873 MS Primary

Addresses

Primary practice location

401 Fontaine PL
Suite 101
Ridgeland, MS 39157-5227

Mailing address

116 Cypress Dr
Madison, MS 39110-8907
Phone (601) 383-1065

Other names 1

  • Mrs. Karin Perry Kahan Other 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
1873MSMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1290297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1851693014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CYPRESS DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108907",
            "telephone_number": "601-383-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 FONTAINE PL",
            "address_2": "SUITE 101",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575227",
            "telephone_number": "601-383-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KARIN",
        "middle_name": "RENE'",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-21",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIN",
            "last_name": "KAHAN",
            "middle_name": "PERRY",
            "prefix": "MRS.",
            "credential": "L.P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.