Active NPI
Ana Esther Perez, PHD, LMFT, MA, RN
- Marriage & Family Therapist
- Deland, FL
National Provider Identifier
1669844874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4955
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4955 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MT4955 | FL | MD | Marriage & Family Therapist |
| 3329532 | FL | MD | Registered 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.