Individual provider Active NPI

Nelson M. Perez, MS

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1346400322
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10967 Issued in FL
Practice address
3510 Biscayne Blvd
Miami, FL 33137-3840
Phone
(305) 576-1234
Fax
(305) 571-2020
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 MH10967 FL Primary

Addresses

Primary practice location

3510 Biscayne Blvd
Miami, FL 33137-3840

Mailing address

8501 NW 138TH St Apt 2202
Miami Lakes, FL 33016-6586
Phone (786) 343-5987

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
I20231120002362 FL Practitioner - Marriage and Family Therapist 0143611657 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ajm Medical Center, LLC CurrentSince Jan 1, 2024 Accepting new patients
Optimus Mental Health LLC CurrentSince Jan 1, 2024 Accepting new patients
Alpha Therapy Center Inc CurrentSince Dec 9, 2023 Accepting new patients
Ajm Behavior Wellness Center, Co PastSince Sep 8, 2024 Accepting new patients
Medisana Health Center Corp Past Accepting new patients

Locations

306 Alcazar Ave
Ste 200
Coral Gables, FL 33134
Phone (305) 967-8725

306 Alcazar Ave
Ste 205
Coral Gables, FL 33134
Phone (305) 967-8725

1840 W 49th St
Ste 408
Hialeah, FL 33012

1840 W 49th St
Ste 515
Hialeah, FL 33012
Phone (305) 603-6202

8500 W Flagler St
Ste 107A
Miami, FL 33144
Phone (786) 614-5085

Organizations & group practices 5

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1346400322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 NW 138TH ST APT 2202",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166586",
            "telephone_number": "786-343-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373840",
            "telephone_number": "305-576-1234",
            "fax_number": "305-571-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "NELSON",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.