Mirta Perez-Betancourt, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC004124 Issued in PA

Practice address

207 E Main St
Ofc 5
Norristown, PA 19401-5068

Phone

(610) 334-2200

Fax

(610) 630-0426

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1508945874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 NORRINGTON DR",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194035133",
            "telephone_number": "610-334-2200",
            "fax_number": "610-630-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E MAIN ST",
            "address_2": "OFC 5",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194015068",
            "telephone_number": "610-334-2200",
            "fax_number": "610-630-0426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 W Lancaster Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Shillington",
            "state": "PA",
            "postal_code": "196071874",
            "country_code": "US",
            "telephone_number": "610-334-2200",
            "fax_number": "610-630-0426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ-BETANCOURT",
        "first_name": "MIRTA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026945490001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania CVS Pharmacy, L.L.C.
• Pennsylvania Department of Human Services
• Pennsylvania Virtual Charter School
• Jeannette Pepe, M.S. CCC-SLP
• Gina Marie Peraino, D.O.
• Kristine Marie Perez, LPC
• Melody Perkins, C.O.T.A.
• Katarzyna Barbara Perkowska
• Robin Perlin, LCSW
• Maryann Perna, PAC

• Professional Counselor in Norristown, PA
• Providers in Norristown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.