Katherine Michele Perez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701006660 Issued in VA

Practice address

9720 Capital CT Ste 302
Manassas, VA 20110-2051

Phone

(703) 368-7995

Fax

(571) 364-8913

NPI assigned

Feb 10, 2017

Last updated

Feb 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Youth for Tomorrow New Life Center, Inc.

  • Psychiatric Residential Treatment Facility
  • Bristow, VA
  • NPI 1316118292

  Professional

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1386182236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 HAZEL CIRCLE DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362180",
            "telephone_number": "703-368-7995",
            "fax_number": "703-631-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 CAPITAL CT STE 302",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102051",
            "telephone_number": "703-368-7995",
            "fax_number": "571-364-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KATHERINE",
        "middle_name": "MICHELE",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Penke, MD
• Anna Penna, MD
• Victoria Pennant, LPC
• Tricia Marie Carr Peny, MPT
• Caitilin Perez, MFN, RDN
• Michael D Perez, M.D.
• Nydia Perez, BCBA, LBA
• Kymeera Perkins
• Sharon Elizabeth Perrine, LPC
• Marla Anne Peterson, LPC

• Professional Counselor in Manassas, VA
• Providers in Manassas, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.