Kimm Marie Perez, PHD, LPA, LPC- S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

64721 Issued in TX

Practice address

11971 N Grand Pkwy E Ste 200
New Caney, TX 77357-1828

Phone

(346) 471-5200

Fax

(346) 474-0990

NPI assigned

Jun 17, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Asian American Health Coalition of the Greater Houston AreaGroup PAC ID 7214014208, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBIDCA/Endpoint/CBIDCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Asian American Health Coalition of the Greater Houston Area

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1699966754

  Case Management

  Medicare reassignment Care Compare group NPD
• Diverse Behavioral Health Group

  • Mental Health Counselor
  • New Caney, TX
  • NPI 1861126005
  Medicare reassignment NPD Authorized official
• Asian American Health Coalition of the Greater Houston Area

  • Pharmacy
  • Houston, TX
  • NPI 1174236632
  NPD
• Asian American Health Coalition of the Greater Houston Area

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1972239341
  NPD
• The Harris Center for Mental Health and Idd

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1346293156
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1013321090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11971 N GRAND PKWY E STE 200",
            "address_2": "#207",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773571827",
            "telephone_number": "346-471-5200",
            "fax_number": "346-474-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11971 N GRAND PKWY E STE 200",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773571828",
            "telephone_number": "346-471-5200",
            "fax_number": "346-474-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KIMM",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD, LPA, LPC- S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": "39232",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "64721",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "64721",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336059606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oculus Valley Ranch Town Center, LLC
• Karen Edith Olivares, DDS
• Taylor Ouimet, DPT
• Kevin Parish Jr.
• Nataly Estefany Pereira, LCSW
• Monica Petty, HHA
• Salena Pho, O.D.
• Jennifer Rochele Piper, MS, LCDC
• Megan Michelle Porter, FNP-C
• Clarissa Prieto-Ayala, O.D.

• Mental Health Counselor in New Caney, TX
• Providers in New Caney, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.