Organization Active NPI

Darlene Aviles Perez

  • Marriage & Family Therapist
  • Bangor, PA
National Provider Identifier
1740045186
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
DARLENE AVILES PEREZ
Practice address
9809 N Delaware Drive
Bangor, PA 18013
Phone
(484) 868-9926
NPI assigned
Feb 15, 2024
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Darlene Aviles Perez, MANPI 1992385249
Title
LMFT, Licensed Family Therapist
Phone
(484) 868-9926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

9809 N Delaware Drive
Bangor, PA 18013

Mailing address

2430 Butler St Ste 369
Easton, PA 18042-5303

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1740045186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 BUTLER ST STE 369",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180425303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9809 N DELAWARE DRIVE",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "18013",
            "telephone_number": "484-868-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARLENE AVILES PEREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-12-06",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "AVILES PEREZ",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "LMFT, LICENSED FAMILY THERAPIST",
        "authorized_official_telephone_number": "484-868-9926",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.