Active NPI
Jennifer Lyn Perkins, M.S.
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1881605525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R06400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N/A | Other | N/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
| License | State | Type | Specialty |
|---|---|---|---|
| R06400 | NV | MD | Mental 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.