Cecilia R Perez, M.S. L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

80322 Issued in CA

Practice address

1 Bodega Ave Ste 2
Petaluma, CA 94952-2672

Phone

(707) 490-2115

Fax

(707) 782-0102

NPI assigned

Mar 28, 2011

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

Opted out of Medicare

Yes, effective Mar 15, 2024 through Mar 15, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Humanidad Therapy and Education Services

  • Marriage & Family Therapist
  • Santa Rosa, CA
  • NPI 1174012710
  NPD Authorized official

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1174822365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BODEGA AVE STE 2",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522672",
            "telephone_number": "707-490-2115",
            "fax_number": "707-782-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BODEGA AVE STE 2",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522672",
            "telephone_number": "707-490-2115",
            "fax_number": "707-782-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 N Dutton Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954017161",
            "country_code": "US",
            "telephone_number": "707-525-1515",
            "fax_number": "707-623-5092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CECILIA",
        "middle_name": "R",
        "credential": "M.S. L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Perez Lemus
• Veronica Perez Sixto
• Laura Yesenia Perez-Garfias
• Alma Yudit Perez
• Caitlin Perez
• Kimberly Juanita Perez
• Orren Z Perlman, MD
• Praveena Permalla, DDS
• Personal Hearing Solutions, Inc.
• Petaluma Acupuncture Center

• Marriage & Family Therapist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.