Active NPI
Jissenia Perez, MA
- Counseling Psychologist
- Tampa, FL
National Provider Identifier
1326390329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3796
- Practice address
- 14008 Saulk CT Apt 137
Tampa, FL 33613-3943 - Phone
- (813) 420-2682
- NPI assigned
- Oct 15, 2012
- Last updated
- Oct 15, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3796 | PR | Primary |
Addresses
Primary practice location
14008 Saulk CT Apt 137
Tampa, FL 33613-3943
Mailing address
14008 Saulk CT Apt 137
Tampa, FL 33613-3943
Phone (813) 420-2682
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3796 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1326390329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14008 SAULK CT APT 137",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133943",
"telephone_number": "813-420-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14008 SAULK CT APT 137",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133943",
"telephone_number": "813-420-2682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JISSENIA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-15",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "3796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.