Individual ProviderNoel PerryCounselorBehavioral Health & Social Service ProvidersPractice Address2004 Valparaiso St, Valparaiso, IN 46383-3138(219) 477-5646(219) 916-2001PECOS EnrollmentBased on the most recent information from CMS, provider Noel Perry does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:05 AM.Profile DetailsProvider ID1134610801Provider TypeIndividualFull NamePerry, NoelGenderMaleSole ProprietorNoEnumeration Date5/29/2018Last Updated5/29/2018Contact InformationPractice LocationPractice Address2004 Valparaiso St, Valparaiso, IN 46383-3138Phone(219) 477-5646FaxUnlisted FaxMailing LocationMailing Address420 Westchester Ln, Valparaiso, IN 46385-8000Phone(219) 916-2001FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID352087048DescriptionOtherIssuerTAX IDENTIFICATION