Michelle Soares Pereira, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH22153 Issued in FL

Practice address

10163 Fortune Pkwy
Jacksonville, FL 32256-3519

Phone

(904) 749-3869

Fax

(904) 633-3299

NPI assigned

Jun 16, 2022

Last updated

Apr 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Creative Minds & Connections LLC

  • Professional Counselor
  • Jacksonville, FL
  • NPI 1740173624
  NPD Authorized official
• Rise Unity Center, Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1336058189
  Authorized official Same address or phone

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1164152583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10163 FORTUNE PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563519",
            "telephone_number": "904-749-3869",
            "fax_number": "904-644-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10163 FORTUNE PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563519",
            "telephone_number": "904-749-3869",
            "fax_number": "904-633-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "MICHELLE",
        "middle_name": "SOARES",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solomiya Peregovska
• Luiz Thiago Pereira de Carvalho, DDS
• Carolina Cebim Pereira, MD
• Edward S Pereira, MD
• Krystle Pereira, M.D.
• Alex Miguel Perello
• Amila Perera, MD
• Kathleen Patterson Perera, OTR
• Loren Elizabeth Peres, NP
• Steven Peres

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.