Active NPI
Carlos A Perez, L.M.H.C.
- Mental Health Counselor
- Homestead, FL
National Provider Identifier
1093032260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH1091
- Practice address
- 654 NE 9TH PL
Homestead, FL 33030-4934 - Phone
- (305) 248-3488
- NPI assigned
- Apr 28, 2010
- 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 | MH1091 | FL | Primary |
Addresses
Primary practice location
654 NE 9TH PL
Homestead, FL 33030-4934
Mailing address
1533 S Liberty Ave
#K
Homestead, FL 33034-2698
Phone (305) 323-5341
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006677000 | Medicaid | FL | |
| MH1091 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
Other names 1
- Dr. Carlos A Perez
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 |
|---|---|---|---|
| MH1091 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525996800000",
"number": "1093032260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 S LIBERTY AVE",
"address_2": "#K",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330342698",
"telephone_number": "305-323-5341",
"fax_number": "305-246-9365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 NE 9TH PL",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304934",
"telephone_number": "305-248-3488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "CARLOS",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "L.M.H.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-28",
"last_updated": "2018-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH1091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006677000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH",
"identifier": "MH1091",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLOS",
"last_name": "PEREZ",
"middle_name": "A",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.