Graciela Perez, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9077 Issued in FL

Practice address

12230 W Forest Hill Blvd
Suite 308
Wellington, FL 33414-5700

Phone

(561) 358-9414

NPI assigned

May 29, 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

State licenses

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.

• GP Wellness PLLC

  • Mental Health Counselor
  • Wellington, FL
  • NPI 1679762413
  NPD (past) Authorized official

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1740448455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 MIRAMONTES CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148825",
            "telephone_number": "561-358-9414",
            "fax_number": "561-798-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 W FOREST HILL BLVD",
            "address_2": "SUITE 308",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334145700",
            "telephone_number": "561-358-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "GRACIELA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z150B",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Perez de la Cruz, DMD
• Juan Enrique Perez Diaz, APRN
• Eliset Perez Perez
• Brittany Perez, DC
• Carolina Perez
• Isabel Cristina Perez
• Julianna Andrea Perez
• Perfect Smile Dentistry
• Personal Touch Family Home 2, LLC
• Peter F Lofaso D O LLC

• Mental Health Counselor in Wellington, FL
• Providers in Wellington, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.