Active NPI
Rosa Laura Perez, LMFT
- Marriage & Family Therapist
- Palmdale, CA
National Provider Identifier
1174945950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT108097
- Practice address
- 1529 E Palmdale Blvd
Suite 210
Palmdale, CA 93550 - Phone
- (760) 522-3349
- NPI assigned
- Jan 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF77317 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT108097 | CA | Primary |
Addresses
Primary practice location
1529 E Palmdale Blvd
Suite 210
Palmdale, CA 93550
Mailing address
1529 E Palmdale Blvd
Suite 210
Palmdale, CA 93550-2034
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 |
|---|---|---|---|
| IMF77317 | CA | MD | Mental Health Counselor |
| LMFT108097 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1174945950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1529 E PALMDALE BLVD",
"address_2": "SUITE 210",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935502034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1529 E PALMDALE BLVD",
"address_2": "SUITE 210",
"city": "PALMDALE",
"state": "CA",
"postal_code": "93550",
"telephone_number": "760-522-3349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ROSA",
"middle_name": "LAURA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-13",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF77317",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT108097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.