Active NPI
Alicia Perez
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1073027751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P06926
- Practice address
- 141 South 5TH Street
Office West #6
Brooklyn, NY 11211 - Phone
- (415) 801-8901
- NPI assigned
- Nov 16, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P06926 | NY | Primary |
Addresses
Primary practice location
141 South 5TH Street
Office West #6
Brooklyn, NY 11211
Mailing address
217 Hancock St Apt 1
Brooklyn, NY 11216-5211
Phone (802) 345-7486
Other practice location 1
141 south 5th street
office west #6
brooklyn, NY 11211
Phone (415) 801-8901
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 |
|---|---|---|---|
| P06926 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1073027751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 HANCOCK ST APT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112165211",
"telephone_number": "802-345-7486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 SOUTH 5TH STREET",
"address_2": "OFFICE WEST #6",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11211",
"telephone_number": "415-801-8901"
}
],
"practiceLocations": [
{
"address_1": "141 south 5th street",
"address_2": "office west #6",
"address_purpose": "LOCATION",
"city": "brooklyn",
"state": "NY",
"postal_code": "11211",
"country_code": "US",
"telephone_number": "415-801-8901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P06926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.