Individual provider Active NPI

Cassandra Perez, MS, LCPC, LPC, NCC

  • Counselor
  • Schaumburg, IL
National Provider Identifier
1285089938
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180015812 Issued in IL
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

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
180015812OtherILLICENSED CLINICAL PROFESSIONAL COUNSELOR
6401015403OtherMIPROF. 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

LicenseStateTypeSpecialty
6401015403MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.