Individual provider Active NPI

Ana Esther Perez, PHD, LMFT, MA, RN

  • Marriage & Family Therapist
  • Deland, FL
National Provider Identifier
1669844874
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4955 Issued in FL
Practice address
2607 Winnemissett Oaks Drive
Deland, FL 32724-4862
Phone
(386) 451-9893
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Health Psychologist 103TH0004X
Marriage & Family Therapist 106H00000X MT4955 FL
Registered Nurse 163W00000X 3329532 FL
Marriage & Family Therapist 106H00000X 4955 FL Primary

Addresses

Primary practice location

2607 Winnemissett Oaks Drive
Deland, FL 32724-4862

Mailing address

2607 Winnemissett Oaks Drive
Deland, FL 32724-4862
Phone (386) 451-9893

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, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4955FLMDAddiction (Substance Use Disorder) Counselor
MT4955FLMDMarriage & Family Therapist
3329532FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1669844874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 WINNEMISSETT OAKS DRIVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327244862",
            "telephone_number": "386-451-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 WINNEMISSETT OAKS DRIVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327244862",
            "telephone_number": "386-451-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANA",
        "middle_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT, MA, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4955",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "3329532",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "4955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.