RANDALL PERKINS - NPI 1669054532 - Peer Specialist in Mooresville, NC

Q: What is Randall Perkins's NPI number?

The NPI number for Randall Perkins is 1669054532. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Q: What is Randall Perkins's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Randall Perkins was last updated on April 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Randall Perkins NPPES

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

RANDALL PERKINS (NPI 1669054532) is an individual peer specialist in Mooresville, North Carolina and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1669054532

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameRANDALL PERKINS

Location Address123 PROFESSIONAL PARK DR STE 101Mooresville, NC 28117-5516

Mailing Address123 Professional Park Dr Ste 101Mooresville, NC 28117-5516

Phone(704) 749-9560

Sole ProprietorNo

Enumeration DateApril 21, 2021

NPPES CertifiedApril 21, 2021

✔ NPI 1669054532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

123 PROFESSIONAL PARK DR STE 101, Mooresville, NC 28117

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Other Providers at the Same Location NPPES 14

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

JALESSA SHANICE CHERRY LCSW

Social Worker (Clinical)