Active NPI
Marcus Richard Perez, M.A.
- Professional Counselor
- Chattanooga, TN
National Provider Identifier
1801938808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-5101
- Practice address
- 7209 Hamilton Acres Cir
Chattanooga, TN 37421-8623 - Phone
- (423) 499-9335
- Fax
- (423) 499-9334
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-5101 | TN | Primary |
Addresses
Primary practice location
7209 Hamilton Acres Cir
Chattanooga, TN 37421-8623
Mailing address
7209 Hamilton Acres Cir
Chattanooga, TN 37421-8623
Phone (423) 499-9335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC-5101 | Other | TN | STATE OF TENNESSEE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-5101 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1801938808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7209 HAMILTON ACRES CIR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374218623",
"telephone_number": "423-499-9335",
"fax_number": "423-499-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7209 HAMILTON ACRES CIR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374218623",
"telephone_number": "423-499-9335",
"fax_number": "423-499-9334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MARCUS",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "LPC-5101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TENNESSEE",
"identifier": "LPC-5101",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.