Individual provider Active NPI

Elena Perez

  • Mental Health Counselor
  • Springfield, MA
National Provider Identifier
1497135008
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1695 Main St FL 400
Springfield, MA 01103-1063
Phone
(413) 739-5572
Fax
(413) 739-9972
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 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 Primary

Addresses

Primary practice location

1695 Main St FL 400
Springfield, MA 01103-1063

Mailing address

1695 Main St FL 400
Springfield, MA 01103-1063

Other practice location 1

1100 Washington St Ste 206
Dorchester, MA 02124-5538
Phone (617) 325-2993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20251226000574 MA Practitioner - Mental Health Counselor 3476049693 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

37 Thurber Blvd
Suite 105
Smithfield, RI 02917-1882

609 W Johnson Ave
Suite 104
Cheshire, CT 06410-4506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Services Institute, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Advanced Behavioral Health Group, Ma P.C. Mental Health CurrentSince Nov 5, 2025 Accepting new patients
Community Services Institute PastSince Jan 1, 2026 Accepting new patients

Locations

1100 Washington St
Ste 206
Dorchester Center, MA 02124
Phone (617) 325-2993

9 College St
Ste 6
South Hadley, MA 01075
Phone (413) 534-7400

1695 Main St
Fl 400
Springfield, MA 01103
Phone (413) 739-5572

Organizations & group practices 3

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1497135008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 MAIN ST FL 400",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 MAIN ST FL 400",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031063",
            "telephone_number": "413-739-5572",
            "fax_number": "413-739-9972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Washington St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021245538",
            "country_code": "US",
            "telephone_number": "617-325-2993",
            "fax_number": "617-325-5618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.