Individual provider Active NPI

Jessica Perez Perez, MA

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1396274106
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
225 S Swoope Ave Ste 211
Maitland, FL 32751-5786
Phone
(407) 622-0444
NPI assigned
Jun 6, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 NU Primary

Addresses

Primary practice location

225 S Swoope Ave Ste 211
Maitland, FL 32751-5786

Mailing address

620 N Wekiwa Springs Rd
Apopka, FL 32712-4012
Phone (407) 928-2625

Other practice location 1

620 N Wekiwa Springs Rd
Apopka, FL 32712-4012
Phone (407) 928-2625

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

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396274106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N WEKIWA SPRINGS RD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327124012",
            "telephone_number": "407-928-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S SWOOPE AVE STE 211",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515786",
            "telephone_number": "407-622-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 N Wekiwa Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327124012",
            "country_code": "US",
            "telephone_number": "407-928-2625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ PEREZ",
        "first_name": "JESSICA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.