Active NPI
Danielle M Perez
- Mental Health Counselor
- Ventura, CA
National Provider Identifier
1447815030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW94766
- Practice address
- 121 N Fir St Ste C
Ventura, CA 93001-2088 - Phone
- (805) 762-4711
- NPI assigned
- May 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | LCSW118833 | CA | |
| Clinical Social Worker | 1041C0700X | ASW94766 | CA | |
| Mental Health Counselor | 101YM0800X | ASW94766 | CA | Primary |
Addresses
Primary practice location
121 N Fir St Ste C
Ventura, CA 93001-2088
Mailing address
121 N Fir St Ste C
Ventura, CA 93001-2088
Phone (805) 762-4711
Other names 1
- Ms. Danielle M Moore
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW94766 | CA | MD | Clinical Social Worker |
| LCSW118833 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1447815030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N FIR ST STE C",
"city": "VENTURA",
"state": "CA",
"postal_code": "930012088",
"telephone_number": "805-762-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 N FIR ST STE C",
"city": "VENTURA",
"state": "CA",
"postal_code": "930012088",
"telephone_number": "805-762-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "DANIELLE",
"middle_name": "M",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-08",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW118833",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW94766",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW94766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "MOORE",
"middle_name": "M",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.