Active NPI
Jessica Perez Licensed Professional Clinical Counselor Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- JESSICA PEREZ LICENSED PROFESSIONAL CLINICAL COUNSELOR INC
- Practice address
- 4740 Green River Rd
Corona, CA 92878-9185 - Phone
- (909) 835-9366
- NPI assigned
- Oct 19, 2021
- Last updated
- Nov 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Perez, LPCC
- Title
- Owner
- Phone
- (951) 212-3184
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4740 Green River Rd
Corona, CA 92878-9185
Mailing address
4740 Green River Rd Ste 206a
Corona, CA 92878-9434
Phone (951) 212-3184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16000 Apple Valley Rd
#C511
Apple Valley, CA 92307
4740 Green River Rd
Corona, CA 92878
Phone (310) 970-4366
4740 Green River Rd
Ste 206A
Corona, CA 92878
Phone (909) 835-9366
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Perris, CA
- NPI 1023431939
-
- Mental Health Counselor
- Moreno Valley, CA
- NPI 1407386725
-
- Professional Counselor
- Hesperia, CA
- NPI 1770096323
-
- Professional Counselor
- Bakersfield, CA
- NPI 1447710975
-
- Mental Health Counselor
- Corona, CA
- NPI 1336019074
-
- Mental Health Counselor
- Corona, CA
- NPI 1699655654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763337600000",
"number": "1194488866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 GREEN RIVER RD STE 206A",
"city": "CORONA",
"state": "CA",
"postal_code": "928789434",
"telephone_number": "951-212-3184",
"fax_number": "909-658-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 GREEN RIVER RD",
"city": "CORONA",
"state": "CA",
"postal_code": "928789185",
"telephone_number": "909-835-9366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESSICA PEREZ LICENSED PROFESSIONAL CLINICAL COUNSELOR INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-19",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "951-212-3184",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.