Individual provider Active NPI

Jennifer Lyn Perkins, M.S.

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1881605525
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R06400 Issued in NV
Practice address
1681 E Flamingo Rd
#2
Las Vegas, NV 89119-5274
Phone
(702) 650-0633
Fax
(702) 650-0642
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R06400 NV Primary

Addresses

Primary practice location

1681 E Flamingo Rd
#2
Las Vegas, NV 89119-5274

Mailing address

1681 E Flamingo Rd
#2
Las Vegas, NV 89119-5274
Phone (702) 650-0633

Other identifiers 1

IdentifierTypeStateIssuer
N/AOtherN/A

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
R06400NVMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881605525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 E FLAMINGO RD",
            "address_2": "#2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195274",
            "telephone_number": "702-650-0633",
            "fax_number": "702-650-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 E FLAMINGO RD",
            "address_2": "#2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195274",
            "telephone_number": "702-650-0633",
            "fax_number": "702-650-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "R06400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "N/A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.