Individual provider Active NPI

Hector Anibal Pereles, LPC

  • Professional Counselor
  • Pinellas Park, FL
National Provider Identifier
1275829426
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007270 Issued in GA
Practice address
34028 Azalea Dr N
Pinellas Park, FL 33781-2653
Phone
(470) 239-0686
Fax
(855) 617-3605
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH23962 FL
Professional Counselor 101YP2500X LPC007270 GA Primary

Addresses

Primary practice location

34028 Azalea Dr N
Pinellas Park, FL 33781-2653

Mailing address

34028 Azalea Dr N
Pinellas Park, FL 33781-2653
Phone (470) 239-0686

Other practice location 1

300 Colonial Center Pkwy Ste 100N
Roswell, GA 30076-4892
Phone (470) 239-0686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205001705 FL Practitioner - Mental Health Counselor 4587007760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

34028 Azalea Dr N
Pinellas Park, FL 33781-2653
Phone (470) 239-0686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH23962FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Living Counseling CurrentSince Jan 1, 2024 Accepting new patients

Locations

8735 Dunwoody Pl
Ste R
Sandy Springs, GA 30350
Phone (478) 298-6924

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1275829426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34028 AZALEA DR N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812653",
            "telephone_number": "470-239-0686",
            "fax_number": "855-617-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34028 AZALEA DR N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812653",
            "telephone_number": "470-239-0686",
            "fax_number": "855-617-3605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Colonial Center Pkwy Ste 100N",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300764892",
            "country_code": "US",
            "telephone_number": "470-239-0686",
            "fax_number": "855-617-3605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERELES",
        "first_name": "HECTOR",
        "middle_name": "ANIBAL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23962",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.