Individual provider Active NPI

Alondra Perez

  • Mental Health Counselor
  • Bethesda, MD
National Provider Identifier
1023748340
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP12661 Issued in MD
Practice address
4304 E West Hwy
Bethesda, MD 20814-4406
Phone
(240) 716-0085
NPI assigned
Jun 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP12661 MD Primary

Addresses

Primary practice location

4304 E West Hwy
Bethesda, MD 20814-4406

Mailing address

24712 Etchison Dr
Gaithersburg, MD 20882-3324

Other practice location 1

24712 Etchison Dr
Gaithersburg, MD 20882-3324
Phone (240) 716-0085

Other practice location 2

8894 Stanford Blvd Ste 103
Columbia, MD 21045-5161
Phone (646) 535-8260

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

LicenseStateTypeSpecialty
LGP12661MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1023748340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24712 ETCHISON DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208823324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 E WEST HWY",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144406",
            "telephone_number": "240-716-0085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24712 Etchison Dr",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208823324",
            "country_code": "US",
            "telephone_number": "240-716-0085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8894 Stanford Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210455161",
            "country_code": "US",
            "telephone_number": "646-535-8260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ALONDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP12661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.