Provider Demographics
NPI:1154185759
Name:PERKINS, JASON (MS)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:PERKINS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 LEAVITT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03263-3203
Mailing Address - Country:US
Mailing Address - Phone:603-709-8560
Mailing Address - Fax:
Practice Address - Street 1:14 LEAVITT RD
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:NH
Practice Address - Zip Code:03263-3203
Practice Address - Country:US
Practice Address - Phone:603-709-8560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health