Active NPI
Yanira Perez Nieves, MA
- Professional Counselor
- Bayamon, PR
National Provider Identifier
1568074367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4364
- Practice address
- Ave. Aguas Buenas Edificio 1017
Suite 2
Bayamon, PR 00959 - Phone
- (787) 702-3517
- NPI assigned
- Aug 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4364 | PR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4364 | PR | |
| Marriage & Family Therapist | 106H00000X | 4364 | PR | |
| Professional Counselor | 101YP2500X | 4364 | PR | Primary |
Addresses
Primary practice location
Ave. Aguas Buenas Edificio 1017
Suite 2
Bayamon, PR 00959
Mailing address
Calle 13 K34A
Urb. Van Scoy
Bayamon, PR 00957
Phone (787) 702-3217
Other practice location 1
Carr. 2 KM 7.7
Urb Juan Sanchez
Bayamon, PR 00959
Phone (787) 730-6971
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4364 | PR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1568074367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE 13 K34A",
"address_2": "URB. VAN SCOY",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00957",
"telephone_number": "787-702-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. AGUAS BUENAS EDIFICIO 1017",
"address_2": "SUITE 2",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-702-3517"
}
],
"practiceLocations": [
{
"address_1": "CARR. 2 KM 7.7",
"address_2": "URB JUAN SANCHEZ",
"address_purpose": "LOCATION",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"country_code": "US",
"telephone_number": "787-730-6971",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ NIEVES",
"first_name": "YANIRA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-21",
"last_updated": "2021-12-10",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PR",
"license": "4364",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PR",
"license": "4364",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PR",
"license": "4364",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PR",
"license": "4364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.