Active NPI
Daniel Joseph Perez
- Mental Health Counselor
- Gainesville, FL
National Provider Identifier
1689267189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 20644
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20644 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooks Behavioral LLC | Mental Health | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gainesville, FL
- NPI 1912548991
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.