Pedro Leonardo Perez Aquino, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

11437478-3902 Issued in UT

Practice address

1141 N 1125 W
Orem, UT 84057-2882

Phone

(801) 921-1766

NPI assigned

Sep 18, 2019

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Resource Initiative for Community Empowerment

  dba The RICE Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orem, UT
  • NPI 1053020768
  NPD Authorized official
• Ascendant Behavioral Health LLC

  dba Ascendant Behavioral Health DBA LifeStance

  • Clinical Social Worker
  • Murray, UT
  • NPI 1689128605
  NPD

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1588214811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N 1125 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N 1125 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572882",
            "telephone_number": "801-921-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ AQUINO",
        "first_name": "PEDRO",
        "middle_name": "LEONARDO",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-18",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "11437478-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritchie S Pelton, D. M. D.
• Ali Pendleton
• Karen Pendleton
• Jeffrey Penman, M.D.
• Elizabeth Perdue
• Amanda Perez-Stires, RDN
• Juan Perez
• Perfect Stay Group, LLC
• John Markham Perkins
• Kyra Perkins

• Marriage & Family Therapist in Orem, UT
• Providers in Orem, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.