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PERRY MINNER JR. LCSW
NPI 1295123693
Social Worker - Clinical in Mishawaka, IN

Active since January 07, 2015PECOS EnrolledAccepts Medicare Assignment
3930 EDISON LAKES PKWY, MISHAWAKA, IN 46545(216) 468-5000 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Perry Minner Jr. Lcsw NPPES

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

PERRY MINNER JR. LCSW (NPI 1295123693) is an individual clinical provider in Mishawaka, Indiana, licensed in Indiana (34005929A) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in South Bend, and is a graduate of Indiana Medical College, School Of Medicine Of Purdue University (2006).

NPPES Registry Identity

NPI1295123693
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePERRY MINNER JR.Credential: LCSW
Location Address3930 EDISON LAKES PKWYMishawaka, IN 46545-3474
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (216) 468-5000
Phone(216) 468-5000
Sole ProprietorNo
Medical School CMSIndiana Medical College, School Of Medicine Of Purdue UniversityGraduated 2006
Enumeration DateJanuary 7, 2015
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1295123693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34005929A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 87000014A (IN)
3930 EDISON LAKES PKWY, Mishawaka, IN 46545
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Secondary Practice Location 1

Location 1430 E LaSalle AveSouth Bend, IN 46617-2724 · Phone (574) 299-8595 · Fax (574) 299-8598

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Perry Minner Jr. Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466732631
PECOS Enrollment IDI20161205001101
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Perry Minner's NPI number?

The NPI number for Perry Minner is 1295123693. It was assigned to this individual provider in the NPPES registry on January 7, 2015.

Where is Perry Minner located?

Perry Minner practices at 3930 Edison Lakes Pkwy, Mishawaka, IN 46545. The listed phone number is (216) 468-5000.

What is Perry Minner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Perry Minner enrolled in Medicare?

Yes. Perry Minner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Perry Minner accept?

Health plans from CareSource and UnitedHealthcare list Perry Minner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Perry Minner was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.