Individual provider Active NPI

Keisharely Perez, MS, LCPC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1346829199
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC13372 Issued in MD
Practice address
822 Guilford Ave
Baltimore, MD 21202-3707
Phone
(787) 414-7177
Fax
(681) 310-0710
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 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 LC13372 MD Primary

Addresses

Primary practice location

822 Guilford Ave
Baltimore, MD 21202-3707

Mailing address

822 Guilford Ave
PMB 3085
Baltimore, MD 21202-4490
Phone (787) 414-7177

Other practice location 1

516 N Rolling Rd Ste 201B
Catonsville, MD 21228-4490
Phone (443) 478-3619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC2 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
I20260406002600 FL Practitioner - Mental Health Counselor 4587139704 Reassigns benefits to 1 organization
I20260418000408 DC Practitioner - Mental Health Counselor 4587139704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LC13372MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bilingual Heart Counseling Health Services LLC Mental Health Current Accepting new patients

Locations

822 Guilford Ave
Baltimore, MD 21202
Phone (410) 616-0901

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1346829199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 GUILFORD AVE",
            "address_2": "PMB 3085",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024490",
            "telephone_number": "787-414-7177",
            "fax_number": "681-310-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 GUILFORD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023707",
            "telephone_number": "787-414-7177",
            "fax_number": "681-310-0710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 N Rolling Rd Ste 201B",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212284490",
            "country_code": "US",
            "telephone_number": "443-478-3619",
            "fax_number": "443-860-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KEISHARELY",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC13372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.