George Louis Perez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1850 Lee Rd Ste 322
Winter Park, FL 32789-2107

Phone

(407) 637-2633

NPI assigned

Jan 29, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Change in Motion

  • Mental Health Counselor
  • Winter Park, FL
  • NPI 1821469396

  Mental Health

  NPD

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1649861998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 LEE RD STE 322",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LEE RD STE 322",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892107",
            "telephone_number": "407-637-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "GEORGE",
        "middle_name": "LOUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WinterPark",
            "affiliation": "N",
            "address_1": "1850 Lee Rd Ste 322",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327892107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bryana Nicole Perez Orengo
• Carmen Perez-Illade, IMH
• Maria Perez-Larosa
• Adrien Perez
• Eileen Perez
• Hircania Benedicta Perez
• Javier A Perez, PA
• Julissa Mary Perez
• Michelle A. Perez, LMT
• Mitierra R Perez, RBT

• All providers in Winter Park, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.