Active NPI
Carla Milena Peraza, LMFT
- Marriage & Family Therapist
- Durham, NC
National Provider Identifier
1023394814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1407
- Practice address
- 4711 Buttonbush Drive
Durham, NC 27712-8940 - Phone
- (919) 915-0600
- NPI assigned
- Oct 25, 2011
- Last updated
- Oct 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1407 | NC | Primary |
Addresses
Primary practice location
4711 Buttonbush Drive
Durham, NC 27712-8940
Mailing address
4711 Buttonbush Drive
Durham, NC 27712-8940
Phone (919) 915-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1407 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1023394814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 BUTTONBUSH DRIVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277128940",
"telephone_number": "919-915-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 BUTTONBUSH DRIVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277128940",
"telephone_number": "919-915-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERAZA",
"first_name": "CARLA",
"middle_name": "MILENA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.