Wanda Pernell-Harris, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401004623 Issued in MI

Practice address

21166 Mahon Dr
Southfield, MI 48075-7521

Phone

(248) 352-6946

Fax

(248) 352-6946

NPI assigned

Jan 28, 2016

Sex

Female

Sole proprietor

Yes

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

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.

• Personal Quality Care, LLC

  • Personal Care Attendant
  • Southfield, MI
  • NPI 1184263964
  NPD (past) Authorized official

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1871950352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21166 MAHON DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757521",
            "telephone_number": "248-352-6946",
            "fax_number": "248-352-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21166 MAHON DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757521",
            "telephone_number": "248-352-6946",
            "fax_number": "248-352-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNELL-HARRIS",
        "first_name": "WANDA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401004623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Perkins
• Latrennia Evette Perkins
• Sirena Perkins
• Deborah Perlman-Ajlouny, LMSW
• Abra Perlman, NP
• Candace Pernell
• Stephen K Perrine, MSW
• Aisha Lukeeya Perry
• Amber Lynn Perry, NP
• Antania Perry, LLMSW

• Professional Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.