MICHALENE PERRY
NPI 1336854686
Counselor - Mental Health in Lincoln Park, NJ

Active since January 20, 2023PECOS EnrolledAccepts Medicare Assignment
63 BEAVERBROOK RD, LINCOLN PARK, NJ 07035(986) 206-0414(406) 794-0395 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Feb 4, 2023, Jan 20, 2023 (3 updates tracked since 2023).

About Michalene Perry NPPES

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

MICHALENE PERRY (NPI 1336854686) is an individual mental health provider in Lincoln Park, New Jersey, licensed in Louisiana (8763) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336854686
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHALENE PERRY
Location Address63 BEAVERBROOK RDLincoln Park, NJ 07035-1440
Mailing Address6103 Ball Loop Lot 3Ball, LA 71405-9416 · (724) 854-1057
Fax(406) 794-0395
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 20, 2023
Last NPPES UpdateSeptember 8, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1336854686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in LA · 8763 Licensed in ID · 8171960 Licensed in CO · LPC0022629 Licensed in OR · C10309
63 BEAVERBROOK RD, Lincoln Park, NJ 07035

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

Michalene Perry 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 ID1557856317
PECOS Enrollment IDI20251218003401
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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Interventional Pain Medicine)
63 BEAVERBROOK RD, 204
LINCOLN PARK, NJ 07035
Psychologist (Clinical)
63 BEAVERBROOK RD, SUITE 102
LINCOLN PARK, NJ 07035
Social Worker
63 BEAVERBROOK RD, SUITE 206
LINCOLN PARK, NJ 07035
Family Medicine
63 BEAVERBROOK RD, STE 101
LINCOLN PARK, NJ 07035
Family Medicine
63 BEAVERBROOK RD, SUITE 101
LINCOLN PARK, NJ 07035
Social Worker (Clinical)
63 BEAVERBROOK RD, SUITE 102
LINCOLN PARK, NJ 07035
Social Worker (Clinical)
63 BEAVERBROOK RD
LINCOLN PARK, NJ 07035
Clinic/Center (Adolescent and Children Mental Health)
63 BEAVERBROOK RD
LINCOLN PARK, NJ 07035

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 Michalene Perry's NPI number?

The NPI number for Michalene Perry is 1336854686. It was assigned to this individual provider in the NPPES registry on January 20, 2023.

Where is Michalene Perry located?

Michalene Perry practices at 63 Beaverbrook Rd, Lincoln Park, NJ 07035. The listed phone number is (986) 206-0414.

What is Michalene Perry's specialty?

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

Is Michalene Perry enrolled in Medicare?

Yes. Michalene Perry 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.

When was this NPI record last updated?

The NPPES record for Michalene Perry was last updated on September 8, 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.