Individual provider Active NPI

Mary Patricia Perez, MFT

  • Mental Health Counselor
  • Auburn, CA
National Provider Identifier
1124231170
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC46381 Issued in CA
Practice address
11670 Atwood Rd
Auburn, CA 95603-9522
Phone
(530) 887-2811
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC46381 CA Primary

Addresses

Primary practice location

11670 Atwood Rd
Auburn, CA 95603-9522

Mailing address

11670 Atwood Rd
Auburn, CA 95603-9522
Phone (530) 887-2811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240123004110 TX Practitioner - Marriage and Family Therapist 9032561287 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC46381CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Indian Health Inc CurrentSince Jan 1, 2024 Accepting new patients
Northern Valley Indian Health Inc Current Accepting new patients
Northern Valley Indian Health, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

175 W Court St
Woodland, CA 95695
Phone (530) 661-4400

1280 E Gibson Rd
Woodland, CA 95776
Phone (530) 650-4500

Interoperability endpoints

  • Direct secure messaging: mary.perez@nvih.eclinicaldirectplus.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1124231170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11670 ATWOOD RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039522",
            "telephone_number": "530-887-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11670 ATWOOD RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039522",
            "telephone_number": "530-887-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC46381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.