Kristin L Perkins, MSW, LCSW

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KRISTIN L PERKINS, MSW, LCSW

Practice address

1100 Main St Ste D
Fortuna, CA 95540-2148

Phone

(707) 496-4626

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Kristin Leigh Perkins, LCSWNPI 1467606368

Title

Owner

Phone

(707) 496-4626

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Leigh Perkins, LCSW

  • Clinical Social Worker
  • Fortuna, CA
  • NPI 1467606368
  NPD Authorized official
• Kaylyn Paige Seamands, AMFT

  • Marriage & Family Therapist
  • Eureka, CA
  • NPI 1366918765
  NPD (past)

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1881434769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MAIN ST STE D",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402148",
            "telephone_number": "707-496-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MAIN ST STE D",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402148",
            "telephone_number": "707-496-4626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 E St Ste 405",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955010352",
            "country_code": "US",
            "telephone_number": "707-273-2604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KRISTIN L PERKINS, MSW, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-496-4626",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Grant Kent, M.D.
• James John Killfoil, M.D.
• Ardenella Kinnison, CNM
• Hollie A. Kostick, RN
• Elizabeth Krause
• Daniel Ackah Kwofie, PHARMD
• Kelly Larose
• Whitney Last
• Alyse Jeanne Laverne, LMFT
• Kenny Lee

• Adult Mental Health Clinic/Center in Fortuna, CA
• Providers in Fortuna, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.