Active NPI
Awilda L. Perez, L.C.A.T.
- Professional Counselor
- Brooklyn, NY
National Provider Identifier
1104028760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 000408
- Practice address
- 224 E 3Rd St
Apt. 1
Brooklyn, NY 11218-2302 - Phone
- (718) 398-0800
- NPI assigned
- Jun 4, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 000408 | NY | Primary |
| Art Therapist | 221700000X | 000408 | NY |
Addresses
Primary practice location
224 E 3Rd St
Apt. 1
Brooklyn, NY 11218-2302
Mailing address
224 East Third Street
Apt. 1
Brooklyn, NY 11218
Phone (718) 438-1131
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 |
|---|---|---|---|
| 000408 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184976000000",
"number": "1104028760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 EAST THIRD STREET",
"address_2": "APT. 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11218",
"telephone_number": "718-438-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 E 3RD ST",
"address_2": "APT. 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112182302",
"telephone_number": "718-398-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "AWILDA",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "L.C.A.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "000408",
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "000408",
"primary": false
}
],
"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 Jul 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.