Active NPI
Wanda Noemi Perez
- Mental Health Counselor
- Miami Gardens, FL
National Provider Identifier
1144661869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ISW 3647
- Practice address
- 1825 NW 167TH St
Suite 102
Miami Gardens, FL 33056-4838 - Phone
- (305) 624-7450
- Fax
- (305) 623-7893
- NPI assigned
- Jul 10, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ISW 3647 | FL | Primary |
Addresses
Primary practice location
1825 NW 167TH St
Suite 102
Miami Gardens, FL 33056-4838
Mailing address
1825 NW 167TH St
Suite 102
Miami Gardens, FL 33056-4838
Phone (305) 624-7450
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 |
|---|---|---|---|
| ISW 3647 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1144661869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 NW 167TH ST",
"address_2": "SUITE 102",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330564838",
"telephone_number": "305-624-7450",
"fax_number": "305-623-7893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 NW 167TH ST",
"address_2": "SUITE 102",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330564838",
"telephone_number": "305-624-7450",
"fax_number": "305-623-7893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "WANDA",
"middle_name": "NOEMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "ISW 3647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.