Active NPI
Gaetano R. Perilli
- Mental Health Counselor
- Forney, TX
National Provider Identifier
1184531279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 103565
- Practice address
- 1660 Sheldon Dr
Forney, TX 75126-1309 - Phone
- (239) 336-4092
- NPI assigned
- Aug 25, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 103565 | TX | Primary |
Addresses
Primary practice location
1660 Sheldon Dr
Forney, TX 75126-1309
Mailing address
1660 Sheldon Dr
Forney, TX 75126-1309
Phone (239) 336-4092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1184531279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 SHELDON DR",
"city": "FORNEY",
"state": "TX",
"postal_code": "751261309",
"telephone_number": "239-336-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 SHELDON DR",
"city": "FORNEY",
"state": "TX",
"postal_code": "751261309",
"telephone_number": "239-336-4092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERILLI",
"first_name": "GAETANO",
"middle_name": "R.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "103565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.