Active NPI
Mark Stephen Perron, M.S.,L.C.P.C.
- Professional Counselor
- Portland, ME
National Provider Identifier
1922240555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC349
- Practice address
- 52 Cove St
Portland, ME 04101-2514 - Phone
- (207) 712-5505
- NPI assigned
- Mar 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH6490 | FL | |
| Professional Counselor | 101YP2500X | CC349 | ME | Primary |
Addresses
Primary practice location
52 Cove St
Portland, ME 04101-2514
Mailing address
52 Cove St
Portland, ME 04101-2514
Phone (207) 712-5505
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 |
|---|---|---|---|
| MH6490 | FL | MD | Mental Health Counselor |
| CC349 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1922240555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 COVE ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012514",
"telephone_number": "207-712-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 COVE ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012514",
"telephone_number": "207-712-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRON",
"first_name": "MARK",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "M.S.,L.C.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-27",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH6490",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.