Sara Perez, CAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

3351 Claystone St SE Ste 212
Grand Rapids, MI 49546-5781

Phone

(616) 954-1991

Fax

(616) 233-0718

NPI assigned

Oct 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Life Guidance Services

  • Social Worker
  • Grand Rapids, MI
  • NPI 1336185032
  NPD (past)

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1720239031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 CLAYSTONE ST SE STE 212",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465781",
            "telephone_number": "616-954-1991",
            "fax_number": "616-233-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 CLAYSTONE ST SE STE 212",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465781",
            "telephone_number": "616-954-1991",
            "fax_number": "616-233-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "SARA",
        "name_prefix": "Miss",
        "credential": "CAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "381359253",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica E Perez
• Kassandra K Perez
• Maira Ibette Perez, BSN, RN
• Maria Perez
• Perla Perez
• Barbara L Periard, MD
• Matthew David Perin
• Peripheral Counseling LLC
• Elitsa Nicolaou Perizes, M.D.
• Allison Perkins, LPC, LMFT

• Addiction (Substance Use Disorder) Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.