Individual provider Active NPI

Iris L Perlstein, LPC,LCADC

  • Professional Counselor
  • Skillman, NJ
National Provider Identifier
1962735233
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC003587 Issued in PA
Practice address
39 Tamarack Cir
Skillman, NJ 08558-2019
Phone
(609) 216-4435
Fax
(121) 534-5710
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00109800 NJ
Professional Counselor 101YP2500X PC003587 PA Primary

Addresses

Primary practice location

39 Tamarack Cir
Skillman, NJ 08558-2019

Mailing address

4013 Smoke Rd
Doylestown, PA 18902-1536
Phone (609) 216-4435

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

LicenseStateTypeSpecialty
37LC00109800NJMDAddiction (Substance Use Disorder) Counselor
PC003587PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1962735233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 SMOKE RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021536",
            "telephone_number": "609-216-4435",
            "fax_number": "121-534-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 TAMARACK CIR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582019",
            "telephone_number": "609-216-4435",
            "fax_number": "121-534-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLSTEIN",
        "first_name": "IRIS",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LPC,LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00109800",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skillman, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.