Individual provider Active NPI

Katheryn Perez, LMFT

  • Marriage & Family Therapist
  • Burbank, CA
National Provider Identifier
1538564182
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114371 Issued in CA
Practice address
2600 W Olive Ave FL 5
Burbank, CA 91505-4572
Phone
(818) 421-0132
NPI assigned
Oct 24, 2014
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 114371 CA Primary

Addresses

Primary practice location

2600 W Olive Ave FL 5
Burbank, CA 91505-4572

Mailing address

PO Box 2071
Toluca Lake, CA 91610-0071

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL n/a Direct
Other URL n/a Direct

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

LicenseStateTypeSpecialty
114371CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Perez Family Therapy, Inc. Marriage & Family Therapist CurrentSince Jan 21, 2022 Accepting new patients

Locations

2600 W Olive Ave
Fl 5
Burbank, CA 91505
Phone (818) 391-9140

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1538564182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2071",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916100071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W OLIVE AVE FL 5",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054572",
            "telephone_number": "818-421-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KATHERYN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2600 W Olive Ave Fl 5",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915054572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2600 W Olive Ave Fl 5",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915054572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.