Provider Demographics
NPI:1285146878
Name:PERRONE, VINCENT (LPC)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:
Last Name:PERRONE
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3426 CRIPPLE CREEK SQ
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-7125
Mailing Address - Country:US
Mailing Address - Phone:914-755-9824
Mailing Address - Fax:
Practice Address - Street 1:3426 CRIPPLE CREEK SQ
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-7125
Practice Address - Country:US
Practice Address - Phone:914-755-9824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0015691101YM0800X
COLPC.0016175101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health