Individual provider Active NPI

Rose Mary Perez, LMFT

  • Marriage & Family Therapist
  • Wasco, CA
National Provider Identifier
1366700171
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 97744 Issued in CA
Practice address
930 F St
Wasco, CA 93280-2040
Phone
(661) 699-5128
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT 97744 CA Primary

Addresses

Primary practice location

930 F St
Wasco, CA 93280-2040

Mailing address

5501 Stockdale Hwy
Bakersfield, CA 93309-2503
Phone (661) 321-6545

Other practice location 1

3105 Wilson Rd
Bakersfield, CA 93304-5319
Phone (661) 397-8775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT 97744CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Kern Marriage & Family Therapist Current Accepting new patients
County of Kern Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

930 F St
Wasco, CA 93280
Phone (661) 674-3377

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1366700171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092503",
            "telephone_number": "661-321-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 F ST",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932802040",
            "telephone_number": "661-699-5128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Wilson Rd",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933045319",
            "country_code": "US",
            "telephone_number": "661-397-8775",
            "fax_number": "661-397-8286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ROSE MARY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 97744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasco, CA

Sources for this page

Verify at the official NPI Registry.