Edward Gregory Perez, LPC, LMSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78920 Issued in TX

Practice address

9500 Tioga Dr
San Antonio, TX 78230-3118

Phone

(210) 616-0828

NPI assigned

Oct 29, 2019

Last updated

Dec 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nueva Vida Behavioral Health Associates, IncGroup PAC ID 1052540176, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nueva Vida Behavioral Health Associates,Inc

  • Professional Counselor
  • San Antonio, TX
  • NPI 1669565529
  Medicare reassignment Care Compare group NPD
• Alaniz Counseling and Behavioral Center, P.C.

  • Professional Counselor
  • San Antonio, TX
  • NPI 1811288731
  Medicare reassignment NPD
• Monarch Behavioral Health, PLLC

  dba Amanda N Sharp, PhD

  • Clinical Child & Adolescent Psychologist
  • San Antonio, TX
  • NPI 1710510177
  Medicare reassignment NPD
• Alamo Area Family & Geriatric Medicine Associates, PA

  • Family Medicine Physician
  • Windcrest, TX
  • NPI 1366575706
  NPD
• Vcounselors PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1326784307
  NPD
• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1558905935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340050",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782340050",
            "telephone_number": "210-213-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 TIOGA DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303118",
            "telephone_number": "210-616-0828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3222 CPL Johnson RC",
            "address_2": "RM 209",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78234",
            "country_code": "US",
            "telephone_number": "210-956-0547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EDWARD",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "LPC, LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desirie Perez, RN
• Diana Perez, MS
• Diana Edith Perez, COTA
• Dominique Perez
• Eduardo Perez Jr., DDS
• Elaine R Perez, ACNP
• Elinore Rivera Perez
• Emily Marie Perez, LCSW
• Emily Yanett Perez
• Emmanuel Perez

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.