Active NPI
Kimberlee Rae Perry
- Mental Health Counselor
- Chico, CA
National Provider Identifier
1902092190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 24177
- Practice address
- 10 Independence Cir
Chico, CA 95973-0381 - Phone
- (530) 345-1600
- Fax
- (530) 345-1685
- NPI assigned
- Sep 20, 2007
- 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 | 24177 | CA | Primary |
Addresses
Primary practice location
10 Independence Cir
Chico, CA 95973-0381
Mailing address
10 Independence Cir
Chico, CA 95973-0381
Phone (530) 345-1600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24177 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1902092190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 INDEPENDENCE CIR",
"city": "CHICO",
"state": "CA",
"postal_code": "959730381",
"telephone_number": "530-345-1600",
"fax_number": "530-345-1685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 INDEPENDENCE CIR",
"city": "CHICO",
"state": "CA",
"postal_code": "959730381",
"telephone_number": "530-345-1600",
"fax_number": "530-345-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "KIMBERLEE",
"middle_name": "RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "24177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.