Individual provider Active NPI

Cassandra Perez, LPC

  • Professional Counselor
  • Warrenville, IL
National Provider Identifier
1700693470
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
29W170 Butterfield Rd Ste 101
Warrenville, IL 60555-2808
Phone
(331) 305-4464
NPI assigned
Dec 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X IL Primary

Addresses

Primary practice location

29W170 Butterfield Rd Ste 101
Warrenville, IL 60555-2808

Mailing address

29W170 Butterfield Rd
Warrenville, IL 60555-2809
Phone (331) 305-4464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250402001506 IL Practitioner - Mental Health Counselor 9234652090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serendipity Counseling Services, PLLCGroup PAC ID 0648643973, 5 clinicians

Practice addresses (Care Compare)

29 W170 Butterfield Rd
Suite 101
Warrenville, IL 60555-2808
Phone (331) 305-4464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serendipity Counseling Services, PLLC Single Specialty CurrentSince Jan 30, 2025 Accepting new patients

Locations

29W170 Butterfield Rd
Ste 101
Warrenville, IL 60555
Phone (331) 305-4464

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": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1700693470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29W170 BUTTERFIELD RD",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605552809",
            "telephone_number": "331-305-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29W170 BUTTERFIELD RD STE 101",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605552808",
            "telephone_number": "331-305-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CASSANDRA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.