MR. TIM A PERRY LPC MHSP MA NPI 1891884102

NPI Information

NPI: 1891884102
Provider Name: MR. TIM A PERRY, LPC MHSP MA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
26 MIDWAY ST
BRISTOL REGIONAL COUNSELING CENTER
BRISTOL, TN
ZIP 37620
Phone: (423) 989-4500
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MR. Tim A Perry, LPC MHSP MA is a professional counselor in Bristol, TN. MR. Tim A Perry, LPC MHSP MA NPI is 1891884102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

26 MIDWAY ST
BRISTOL REGIONAL COUNSELING CENTER
BRISTOL, TN
ZIP 37620
Phone: (423) 989-4500
Fax: (423) 989-4568

The NPI 1891884102 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 10/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		LPC1447	TENNESSEE	No
2	101YP2500X	Counselor	Professional	1447	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	4013483	OTHER	MAGELLAN SUMMIT
2	620582605	OTHER	HIGHLANDS WELLMONT
3	620582605	OTHER	BEECH STREET
4	4013483	OTHER	MAGELLAN NAVIGATOR
5	620582605	OTHER	CORPHEALTH
6	010149380	OTHER	VIRGINIA MEDICAID BRCC
7	4013483	OTHER	MAGELLAN PINNACLE
8	620582605	OTHER	THREE RIVERS PROVI GROUP
9	620582605	OTHER	INITIAL GROUP GROUP
10	269963	OTHER	COMPSYCH
11	334969	OTHER	VALUEOPTIONS GROUP
12	351654200	OTHER	DOL WORKERS COMP
13	010149371	OTHER	VIRGINIA MEDICAID JOHNSON
14	217324	OTHER	ANTHEM PROF TRIGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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