Amy Perez, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1507076 Issued in AR

Practice address

607 Harkrider St Ste 4
Conway, AR 72032-5692

Phone

(501) 424-5084

NPI assigned

Nov 14, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amy.perez.2@33036.direct.athenahealth.com

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.

• Southwest Arkansas Counseling and Mental Health Center, Inc

  • Community/Behavioral Health Agency
  • Hope, AR
  • NPI 1295985208
  NPD (past)
• Southwest Arkansas Counseling and Mental Health Center, Inc

  • Community/Behavioral Health Agency
  • Texarkana, AR
  • NPI 1598761553
  NPD (past)
• The Guinn Clinic, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Dorado, AR
  • NPI 1073156741
  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1811327703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12409 LUMMUS LN",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221342065",
            "telephone_number": "903-244-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 HARKRIDER ST STE 4",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325692",
            "telephone_number": "501-424-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "AMY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1507076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald J Pelz, PSYD
• Kristel Pennington, LADAC, LCDC
• Allyson Penrod, PT
• Kourtney Perdue, APRN
• Jatzary Perez-Avitia
• Shelby M Perez
• Asia Nilicia Perkins
• Marilyn Louise Perkins
• Shelby Perkins
• Tavai Alize Perks

• Mental Health Counselor in Conway, AR
• Providers in Conway, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.