Individual provider Active NPI

Karen A Perez, PSYD, PHD, LLP, LPC

  • Professional Counselor
  • Plymouth, MI
National Provider Identifier
1083740625
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401002271 Issued in MI
Practice address
705 S Main St Ste 101I
Plymouth, MI 48170-1060
Phone
(734) 748-5796
Fax
(734) 468-0109
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301011072 MI
Professional Counselor 101YP2500X 6401002271 MI Primary

Addresses

Primary practice location

705 S Main St Ste 101I
Plymouth, MI 48170-1060

Mailing address

705 S Main St Ste 101I
Plymouth, MI 48170-1060
Phone (734) 748-5796

Other names 1

  • Karen A Schulz Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL Plymouth Health Information Exchange (HIE)
SOAP URL Plymouth Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228003731 MI Practitioner - Mental Health Counselor 9638486830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

705 S Main St
Suite 101M
Plymouth, MI 48170-1060
Phone (734) 748-5796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301011072MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald Hug M a CCC-a & Associates Inc PastSince Oct 15, 2014 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1083740625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S MAIN ST STE 101I",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701060",
            "telephone_number": "734-748-5796",
            "fax_number": "734-468-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S MAIN ST STE 101I",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701060",
            "telephone_number": "734-748-5796",
            "fax_number": "734-468-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KAREN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD, PHD, LLP, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-09-02",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011072",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401002271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Plymouth",
            "affiliation": "N",
            "endpointDescription": "SOAP Chart",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "705 S Main St Ste 101I",
            "city": "Plymouth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481701060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Plymouth",
            "affiliation": "N",
            "endpointDescription": "office practice location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "705 S Main St Ste 101I",
            "city": "Plymouth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481701060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SCHULZ",
            "middle_name": "A",
            "credential": "PSYD, PHD, LLP, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.