Elisaul Perez, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH20855 Issued in FL

Practice address

9822 NE 2ND Ave Ste 2
Miami Shores, FL 33138-2347

Phone

(267) 439-0025

NPI assigned

Feb 21, 2022

Sex

Male

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1194470898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 NW 177TH ST APT 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694921",
            "telephone_number": "267-439-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9822 NE 2ND AVE STE 2",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382347",
            "telephone_number": "267-439-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ELISAUL",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-21",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Martinez-Clark MD PA
• Pentimento Group LLC
• Ruben Perczek, PHD
• Margarita Virginia Perez Caminero, MD
• Adeleisy D Perez, RBT
• Sheila Perez, PA
• Kristoffer Pernsteiner
• Minh Pham, DDS
• David Clifton Llewellyn Phillibert, MD
• Elizabeth Ann Phillips

• Mental Health Counselor in Miami Shores, FL
• Providers in Miami Shores, 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 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.