Individual provider Active NPI

Virginia Perez, LMHC

  • Mental Health Counselor
  • Yorktown Heights, NY
National Provider Identifier
1275161176
Registry record updated Mar 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010288-01 Issued in NY
Practice address
211 Montross Rd
Yorktown Heights, NY 10598-4743
Phone
(914) 334-3018
NPI assigned
Mar 28, 2020
Last updated
Mar 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 010288-01 NY Primary

Addresses

Primary practice location

211 Montross Rd
Yorktown Heights, NY 10598-4743

Mailing address

211 Montross Rd
Yorktown Heights, NY 10598-4743
Phone (914) 334-3018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 9, 2024 through Apr 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010288-01NYMDMental Health Counselor
17303NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stegall Counseling PLLC Mental Health PastSince Jun 25, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585353600000",
    "number": "1275161176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MONTROSS RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984743",
            "telephone_number": "914-334-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MONTROSS RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984743",
            "telephone_number": "914-334-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "VIRGINIA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010288-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.