DARYL JAY PERRY (NPI# 1013323054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013323054 |
| Entity Type | Individual |
| Full Name | DARYL JAY PERRY |
| Credential | LADAC |
| Practice Address |
912 1st St Nw Albuquerque NM 87102-2355 |
| Practice Telephone | 5052249777 |
| Practice Fax Number | 5052249779 |
| Mailing Telephone | 5052249777 |
| Mailing Fax Number | 5052249779 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 0164091 | NM | Behavioral Health & Social Service Providers |
| Street Address |
912 1ST ST NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205114816 | Christian Shaw | Preventive Medicine | 912 1st St Nw, Albuquerque, NM 87102 | 2011-07-31 |
| 1407456742 | Gabriela Gallegos | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2020-10-27 |
| 1942823125 | Dawn Green | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2020-05-22 |
| 1548890007 | James K Aragon | Counselor | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2020-01-23 |
| 1730742941 | Christina R Hynes | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2019-04-15 |
| 1134782337 | Jason Allen Jackson | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2019-04-15 |
| 1518430669 | Brittney Hogan | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2019-01-10 |
| 1558830927 | Shelly Brooke Dallas | Counselor | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2018-11-15 |
| 1427526656 | Patrick Kochersperger | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2018-11-06 |
| 1730665274 | Irwin Foster | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487278982 | Edward L Lyell | Counselor | 7005 Prospect Pl Ne, Albuquerque, NM 87110-4311 | 2020-06-01 |
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1073172854 | Katherine Bassiri, LLC. | Counselor | 5300 Sequoia Rd Nw Ste 207, Albuquerque, NM 87120-1248 | 2019-06-06 |
| 1922576149 | Jacqueline Castille | Counselor | 4004 Carlisle Blvd Ne Ste C-3, Albuquerque, NM 87107-4565 | 2018-11-06 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1801395389 | Emily J Cano | Counselor | 2601 Wyoming Blvd Ne Ste 101, Albuquerque, NM 87112-1000 | 2018-02-09 |
| 1124533153 | Joy E Davis | Counselor | 8403 Constitution Ave Ne # 87110, Albuquerque, NM 87110-7614 | 2017-12-13 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1205369089 | Jonathan Juerling | Counselor | 5204 Vicksburg Dr Nw, Albuquerque, NM 87120-4501 | 2017-04-07 |
| 1467902098 | Jeffrey Holland | Counselor | 5421 Summer Ave Ne, Albuquerque, NM 87110-6435 | 2016-10-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.