AMANDA PERRY (M.A.) – Counselor, NPI 1578794293

AMANDA PERRY (M.A.) is a healthcare provider. based in Brockton, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.A.. The NPI Number for AMANDA PERRY (M.A.) is 1578794293

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA PERRY (M.A.)
NPI
1578794293
Phone
(508) 559-0473
Address
1115 W CHESTNUT ST
Enumeration Date
29 July 2009
Last Update Date
21 September 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7743288718
Graduation Year
2009 (17 years ago)
PAC ID
8022534445
Group Practice PAC ID
8022551670
Professional Enrollment ID
I20250429002272
Address ID
MA027404943NE380XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:16State licenses:0Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

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Provider Addresses for AMANDA PERRY (M.A.)

  • 1115, West Chestnut Street, Marshall Corner, Brockton, Plymouth County, Massachusetts, 02357, United States

    BROCKTON, MA 023017501

    Phone: (508) 559-0473

    Type: Location

  • 125, Redwing Drive, Scotland Estates, Bridgewater, Plymouth County, Massachusetts, 02324, United States

    BRIDGEWATER, MA 023242219

    Phone: (508) 631-2062

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250429002272IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022551670View full group profile
NameSpecialtyState
Mental Health CounselorMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

How is AMANDA PERRY (M.A.) identified in CMS data?
CMS-hosted NPPES data lists AMANDA PERRY (M.A.) with NPI 1578794293.
Is AMANDA PERRY (M.A.) listed as active for patients and plans?
The listing shows AMANDA PERRY (M.A.) as active in the NPI system.
What healthcare role does AMANDA PERRY (M.A.) hold?
Scheduling teams often label AMANDA PERRY (M.A.) under Counselor. Clinical services aligned with this taxonomy classification.
Where is AMANDA PERRY (M.A.) based?
AMANDA PERRY (M.A.) is tied to Brockton, Massachusetts in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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