Active NPI
Juan Sebastian Perez
- Mental Health Counselor
- Miami, FL
National Provider Identifier
1083217871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 15924 SW 92ND Ave
Miami, FL 33157-1842 - Phone
- (305) 964-5824
- NPI assigned
- Nov 16, 2020
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
15924 SW 92ND Ave
Miami, FL 33157-1842
Mailing address
15292 SW 104TH St
Miami, FL 33196-3294
Phone (786) 395-6944
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpere1034@fiu.edu |
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": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1083217871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15292 SW 104TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331963294",
"telephone_number": "786-395-6944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15924 SW 92ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331571842",
"telephone_number": "305-964-5824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JUAN",
"middle_name": "SEBASTIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-16",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpere1034@fiu.edu",
"affiliation": "N",
"address_1": "13324 SW 110th Ter",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331864345",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.