Individual provider Active NPI

Oswaldo Jose Perez, MS LMHC QS

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1306266879
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16250 Issued in FL
Practice address
804 N Hoagland Blvd
Kissimmee, FL 34741-4518
Phone
(407) 797-7298
Fax
(407) 386-3201
NPI assigned
Apr 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 MH16250 FL Primary

Addresses

Primary practice location

804 N Hoagland Blvd
Kissimmee, FL 34741-4518

Mailing address

804 N Hoagland Blvd
Kissimmee, FL 34741-4518
Phone (407) 797-7298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240712003684 FL Practitioner - Mental Health Counselor 6204991359 Reassigns benefits to 2 organizations
I20260217002989 OH Practitioner - Mental Health Counselor 6204991359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

804 N Hoagland Blvd
Kissimmee, FL 34741-4518
Phone (407) 797-7298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Saafe Behavioral Services LLC CurrentSince Jun 12, 2024 Accepting new patients
Serenity Life Wellness Center, LLC CurrentSince Feb 2, 2026 Accepting new patients
American Healthcare LLC CurrentSince May 18, 2010 Accepting new patients
Serenity Life Counseling Center LLC CurrentSince Oct 18, 2019 Accepting new patients
Saafe Health Services LLC CurrentSince Jun 12, 2024 Accepting new patients
Los Doctors, LLC Mental Health PastSince Aug 1, 2013 Accepting new patients

Locations

201 W Plymouth Ave
Deland, FL 32720
Phone (386) 872-2963

804 N Hoagland Blvd
Kissimmee, FL 34741
Phone (407) 797-7298

100 S Semoran Blvd
Orlando, FL 32807
Phone (407) 277-7620

672 N Semoran Blvd
Ste 104
Orlando, FL 32807
Phone (407) 750-4557

3993 W State Road 46
Sanford, FL 32771
Phone (407) 732-4272

Organizations & group practices 6

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": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1306266879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N HOAGLAND BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414518",
            "telephone_number": "407-797-7298",
            "fax_number": "407-386-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N HOAGLAND BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414518",
            "telephone_number": "407-797-7298",
            "fax_number": "407-386-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "OSWALDO",
        "middle_name": "JOSE",
        "credential": "MS LMHC QS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.