Individual provider Active NPI

Karen Perez, MSW

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1649485822
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4830 W Kennedy Blvd # 634
Tampa, FL 33609-2564
Phone
(813) 486-4920
Fax
(833) 465-0108
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Clinical Social Worker 1041C0700X SW11254 FL

Addresses

Primary practice location

4830 W Kennedy Blvd # 634
Tampa, FL 33609-2564

Mailing address

32450 Talimena Loop
Wesley Chapel, FL 33543-5839
Phone (813) 493-7705

Other practice location 1

13000 Bruce B Downs Blvd
Tampa, FL 33612-4745
Phone (813) 972-2000

Other identifiers 1

IdentifierTypeStateIssuer
117567900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20140611001854 FL Practitioner - Clinical Social Worker 3375767494 Reassigns benefits to 1 organization
Practice locations: Tampa, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Embracing Changes Center for Wellness LLCGroup PAC ID 1951713361, 2 clinicians

Practice addresses (Care Compare)

4830 W Kennedy Blvd
Suite 634
Tampa, FL 33609-2564
Phone (813) 486-4920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW11254FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Embracing Changes Center for Wellness LLC Clinical CurrentSince Oct 26, 2020 Accepting new patients

Locations

4830 W Kennedy Blvd
Ste 634
Tampa, FL 33609
Phone (813) 486-4920

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: embracingchangescenterforwellness.karenperez@147544.advancedmd-direct.com

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1649485822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32450 TALIMENA LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435839",
            "telephone_number": "813-493-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 W KENNEDY BLVD # 634",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092564",
            "telephone_number": "813-486-4920",
            "fax_number": "833-465-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13000 Bruce B Downs Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336124745",
            "country_code": "US",
            "telephone_number": "813-972-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11254",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117567900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.