Active NPI
Nicole Perez
- Counselor
- Everett, MA
National Provider Identifier
1174927818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 60 Florence St
Apt#2
Everett, MA 02149-4841 - Phone
- (781) 605-7696
- NPI assigned
- Oct 9, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Psychologist | 103T00000X | |||
| Social Worker | 104100000X |
Addresses
Primary practice location
60 Florence St
Apt#2
Everett, MA 02149-4841
Mailing address
60 Florence St
Apt#2
Everett, MA 02149-4841
Phone (781) 605-7696
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412812800000",
"number": "1174927818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 FLORENCE ST",
"address_2": "APT#2",
"city": "EVERETT",
"state": "MA",
"postal_code": "021494841",
"telephone_number": "781-605-7696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 FLORENCE ST",
"address_2": "APT#2",
"city": "EVERETT",
"state": "MA",
"postal_code": "021494841",
"telephone_number": "781-605-7696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-09",
"last_updated": "2014-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.