Juan Perez, MHR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1209 S Main St
Stillwater, OK 74074-5846

Phone

(405) 564-3408

NPI assigned

Nov 8, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creoks Mental Health ServicesGroup PAC ID 0749591469, 39 clinicians

Senior Psychological Care of Oklahoma, LLCGroup PAC ID 7214311448, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Senior Psychological Care of Oklahoma, LLC

  • Psychologist
  • Tulsa, OK
  • NPI 1740931609
  Medicare reassignment Care Compare group NPD
• Creoks Mental Health Services

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1841311289
  Medicare reassignment Care Compare group
• Creoks Mental Health Services

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1710583372
  NPD

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1710455662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N BURDICK ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740757407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740745846",
            "telephone_number": "405-564-3408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E 6th Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740743732",
            "country_code": "US",
            "telephone_number": "405-377-3418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JUAN",
        "name_prefix": "Mr.",
        "credential": "MHR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Peach
• Lillie Peek
• Cara Denise Pence, M.D.
• Lauren Pendarvis, DO
• Rebecca Lou Pendleton, SLP
• Kevin Maurice Perry, P.T., ATC
• Melissa Ann Petersen-Gent, PHARMD
• Taylor Peterson, D.D.S.
• Elizabeth Murphy Petrin, PHD
• Jean Marie Pettus

• Professional Counselor in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.