Individual provider Active NPI

Jacnery Rodriguez Perez

  • Mental Health Counselor
  • Coral Gables, FL
National Provider Identifier
1477377422
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MT5063 Issued in FL
Practice address
3850 W Flagler St
Coral Gables, FL 33134-1604
Phone
(305) 744-3300
NPI assigned
Nov 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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 MT5063 FL Primary

Addresses

Primary practice location

3850 W Flagler St
Coral Gables, FL 33134-1604

Mailing address

2300 NW 89TH PL FL 3
Doral, FL 33172-2431
Phone (305) 398-6100

Other practice location 1

140 NW 59th St
Miami, FL 33127-1218
Phone (305) 774-3300

Other practice location 2

220 SW 2nd St
Pompano Beach, FL 33060-4611
Phone (305) 774-3300

Other practice location 3

3800 W Flagler St
Coral Gables, FL 33134-1604
Phone (305) 774-3600

Other practice location 4

4900 W Oakland Park Blvd Fl 3
Lauderdale Lakes, FL 33313-7500
Phone (954) 327-4060

Other practice location 5

3733 W Flagler St
Coral Gables, FL 33134-1601
Phone (305) 774-3300

Other practice location 6

10720 Caribbean Blvd Ste 420
Cutler Bay, FL 33189-1244
Phone (786) 293-9544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250212000990 FL Practitioner - Marriage and Family Therapist 1254861842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT5063FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Banyan Community Health Center, Inc. Current Accepting new patients
Banyan Community Health Center, Inc. CurrentSince Nov 30, 2024 Accepting new patients
Banyan Community Health Center, Inc. PastSince Aug 1, 2021 Accepting new patients
Banyan Community Health Center, Inc. Past Accepting new patients

Locations

3800 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

3850 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

10720 Caribbean Blvd
Ste 420
Cutler Bay, FL 33189
Phone (786) 293-9544

2300 NW 89th Pl
Fl 3
Doral, FL 33172

4900 W Oakland Park Blvd
Fl 3
Lauderdale Lakes, FL 33313
Phone (954) 327-4060

Organizations & group practices 4

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": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1477377422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 NW 89TH PL FL 3",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722431",
            "telephone_number": "305-398-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 W FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341604",
            "telephone_number": "305-744-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 NW 59th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331271218",
            "country_code": "US",
            "telephone_number": "305-774-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 SW 2nd St",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330604611",
            "country_code": "US",
            "telephone_number": "305-774-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341604",
            "country_code": "US",
            "telephone_number": "305-774-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 W Oakland Park Blvd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "postal_code": "333137500",
            "country_code": "US",
            "telephone_number": "954-327-4060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3733 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341601",
            "country_code": "US",
            "telephone_number": "305-774-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10720 Caribbean Blvd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331891244",
            "country_code": "US",
            "telephone_number": "786-293-9544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ PEREZ",
        "first_name": "JACNERY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT5063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.