Kristine Marie Perez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC0012239 Issued in PA

Practice address

1100 Powell St
Norristown, PA 19401-3820

Phone

(610) 279-9270

Fax

(610) 279-4146

NPI assigned

Apr 2, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1700415775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W CHESTER PIKE STE 205",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834540",
            "telephone_number": "888-694-9996",
            "fax_number": "610-446-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 POWELL ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013820",
            "telephone_number": "610-279-9270",
            "fax_number": "610-279-4146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 W Chester Pike Ste 205",
            "address_purpose": "LOCATION",
            "city": "Havertown",
            "state": "PA",
            "postal_code": "190834540",
            "country_code": "US",
            "telephone_number": "888-694-9996 x8553",
            "fax_number": "610-446-2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC0012239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristinep@centralmhmr.org",
            "affiliation": "Y",
            "endpointDescription": "Work e-mail",
            "address_1": "1100 Powell St",
            "city": "Norristown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194013820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kperez@lifemgmt.org",
            "affiliation": "Y",
            "endpointDescription": "Work-email",
            "affiliationName": "Onward Behavioral Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "525 W Chester Pike Ste 205",
            "city": "Havertown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190834540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pennsylvania Department of Human Services (Norristown State Hospital)
• Pennsylvania Virtual Charter School
• Jeannette Pepe, M.S. CCC-SLP
• Gina Marie Peraino, D.O.
• Mirta Perez-Betancourt, LPC
• Melody Perkins, C.O.T.A.
• Robin Perlin, LCSW
• Maryann Perna, PAC
• David G Perry, PHD
• Personal Touch Wellness Center

• Professional Counselor in Norristown, PA
• Providers in Norristown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.