JADA NICOLE PERRY
NPI 1205469921
Counselor - Mental Health in Detroit, MI

Active since February 20, 2020PECOS Enrolled
20255 MARX ST, DETROIT, MI 48203(313) 451-0131 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jada Nicole Perry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JADA NICOLE PERRY (NPI 1205469921) is an individual mental health provider in Detroit, Michigan, licensed in Michigan (6401225660) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205469921
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJADA NICOLE PERRY
Location Address20255 MARX STDetroit, MI 48203-1343
Mailing Address20255 Marx StDetroit, MI 48203-1343 · (313) 451-0131
Sole ProprietorYes
Enumeration DateFebruary 20, 2020
Last NPPES UpdateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1205469921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401225660
20255 MARX ST, Detroit, MI 48203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jada Nicole Perry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jada Perry's NPI number?

The NPI number for Jada Perry is 1205469921. It was assigned to this individual provider in the NPPES registry on February 20, 2020.

Where is Jada Perry located?

Jada Perry practices at 20255 Marx St, Detroit, MI 48203. The listed phone number is (313) 451-0131.

What is Jada Perry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jada Perry enrolled in Medicare?

Yes. Jada Perry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jada Perry was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.