Active NPI
Brenda Denise Perez
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1033456934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 72614
- Practice address
- 838 Est. 6TH Treet
Los Angeles, CA 90021 - Phone
- (213) 623-8446
- Fax
- (213) 896-1880
- NPI assigned
- Jan 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 72614 | CA | Primary |
Addresses
Primary practice location
838 Est. 6TH Treet
Los Angeles, CA 90021
Mailing address
838 E. Street
Los Angeles, CA 90021
Phone (213) 623-8446
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1033456934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "838 E. STREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90021",
"telephone_number": "213-623-8446",
"fax_number": "213-896-1880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "838 EST. 6TH TREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90021",
"telephone_number": "213-623-8446",
"fax_number": "213-896-1880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "BRENDA",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-11",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "72614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.