Individual provider Active NPI

Daniel Joseph Perez

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1689267189
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20644 Issued in FL
Practice address
1135 NW 23Rd Ave Ste D
Gainesville, FL 32609-3449
Phone
(352) 339-5848
NPI assigned
Feb 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 20644 FL Primary

Addresses

Primary practice location

1135 NW 23Rd Ave Ste D
Gainesville, FL 32609-3449

Mailing address

2044 NW 7TH PL
Gainesville, FL 32603-1113
Phone (813) 786-5078

Other practice location 1

7900 Oak Ln Ste 400
Miami Lakes, FL 33016-5888
Phone (786) 617-8078

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

State licenses

LicenseStateTypeSpecialty
20644FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brooks Behavioral LLC Mental Health CurrentSince Mar 7, 2021 Accepting new patients

Locations

1135 NW 23rd Ave
Ste D
Gainesville, FL 32609
Phone (352) 339-5848

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1689267189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 NW 7TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326031113",
            "telephone_number": "813-786-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 NW 23RD AVE STE D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093449",
            "telephone_number": "352-339-5848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Oak Ln Ste 400",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330165888",
            "country_code": "US",
            "telephone_number": "786-617-8078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "20644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.