Active NPI
Cassandra Perez, MS, LCPC, LPC, NCC
- Counselor
- Schaumburg, IL
National Provider Identifier
1285089938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180015812
- Practice address
- 1051 Perimeter Dr Ste 700
Schaumburg, IL 60173-5855 - Phone
- (269) 350-4593
- NPI assigned
- May 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401015403 | MI | |
| Counselor | 101Y00000X | 6401015403 | MI | |
| Counselor | 101Y00000X | 180015812 | IL | Primary |
Addresses
Primary practice location
1051 Perimeter Dr Ste 700
Schaumburg, IL 60173-5855
Mailing address
2100 Hassell Rd Apt 309
Hoffman Estates, IL 60169-2241
Phone (269) 350-4593
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180015812 | Other | IL | LICENSED CLINICAL PROFESSIONAL COUNSELOR |
| 6401015403 | Other | MI | PROF. COUNSELOR - EDUC. LTD - 10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401015403 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritas Lutheran Social Services of Michigan | Past | Accepting new patients | |
| Richard Kneip, PH.D., P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
-
- Addiction (Substance Use Disorder) Counselor
- Charlotte, MI
- NPI 1972860005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1285089938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 HASSELL RD APT 309",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601692241",
"telephone_number": "269-350-4593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 PERIMETER DR STE 700",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735855",
"telephone_number": "269-350-4593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "CASSANDRA",
"credential": "MS, LCPC, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401015403",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401015403",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180015812",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL PROFESSIONAL COUNSELOR",
"identifier": "180015812",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROF. COUNSELOR - EDUC. LTD - 10",
"identifier": "6401015403",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.