Eder J Perez, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

500 N Estrella Pkwy Ste B2 #447
Goodyear, AZ 85338

Phone

(602) 661-0200

NPI assigned

Apr 25, 2021

Last updated

Apr 11, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1619559002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N ESTRELLA PKWY STE B2",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384136",
            "telephone_number": "602-661-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N ESTRELLA PKWY STE B2 #447",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "602-661-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EDER",
        "middle_name": "J",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-25",
        "last_updated": "2022-04-11",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Goodyear",
            "affiliation": "N",
            "address_1": "500 N Estrella Pkwy Ste B2",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853384136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meghan Elizabeth Pennock Lucchese
• Peoples Wellness LLC
• Dylan Perazzo, BS, RBT
• Raquel Perez Gonzalez, LCSW
• Diana V Perez
• Perfect Teeth - Palm Valley P.C.
• Melanie Perreault, MA, CCC-SLP
• Jasmin S Perry, FNP
• Laura Perry, LCSW
• Peters Wellness Chiropractic Inc

• Counselor in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Counselor in Arizona

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