Yvonne Marie Perez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

16593 Issued in TX

Practice address

102 Whitetail Dr
Suite 200
San Marcos, TX 78666-9739

Phone

(512) 395-5458

Fax

(512) 395-5458

NPI assigned

Apr 19, 2011

Last updated

Jun 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Yvonne Marie Carpenter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yvonne.perez.1@8363.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascension Seton

  dba SHL Professional Support Services

  • Family Medicine Physician
  • Burnet, TX
  • NPI 1073536900
  NPD
• Ascension Seton

  dba SEBD Professional Support Services

  • Family Medicine Physician
  • Luling, TX
  • NPI 1215118609
  NPD
• Ascension Seton

  dba Ascension Seton Smithville

  • Medicare Defined Swing Bed Hospital Unit
  • Smithville, TX
  • NPI 1598590101
  NPD

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1821388257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NEW BRIDGE DR",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405542",
            "telephone_number": "512-262-7260",
            "fax_number": "512-262-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WHITETAIL DR",
            "address_2": "SUITE 200",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786669739",
            "telephone_number": "512-395-5458",
            "fax_number": "512-395-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "YVONNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "16593",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFIED COUNSELOR",
            "identifier": "28150",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "CARPENTER",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jose Ovidio Pena Jr., MD
• Gerard M Pennington, MD
• Amanda Perez
• Edward Pena Perez, MD PHD
• Frances C Perez, LVN
• Nicole Jackson Peters, CCC-SLP
• Carter Baxter Peterson, LPC
• Diane Marie Phalen, DPM
• Pharmacy Care USA of San Marcos, LLC
• Pharmacy Care USA of San Marcos, LLC

• Professional Counselor in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.