Individual provider Active NPI

John D Perez, MA

  • Marriage & Family Therapist
  • Lancaster, PA
National Provider Identifier
1861782542
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000746 Issued in PA
Practice address
1808 Colonial Village LN
Suite 103
Lancaster, PA 17601-6745
Phone
(717) 391-0172
Fax
(717) 391-7771
NPI assigned
Apr 14, 2011
Last updated
Oct 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF000746 PA Primary

Addresses

Primary practice location

1808 Colonial Village LN
Suite 103
Lancaster, PA 17601-6745

Mailing address

1808 Colonial Village LN
Suite 103
Lancaster, PA 17601-6745
Phone (717) 391-0172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212000154 PA Practitioner - Marriage and Family Therapist 4385981281 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Community CareGroup PAC ID 8123914322, 20 clinicians

Practice addresses (Care Compare)

515 Hershey Ave
Lancaster, PA 17603-5752
Phone (717) 299-6371

625 S Duke St
Lancaster, PA 17602-4509
Phone (717) 299-6371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MF000746PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Dec 2, 2024 Accepting new patients
Union Community Care Current Accepting new patients
Community Services Group, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Dec 2, 2024 Accepting new patients
Union Community Care CurrentSince Oct 20, 2025 Accepting new patients
Union Community Care CurrentSince Oct 20, 2025 Accepting new patients
Lancaster General Medical Group Marriage & Family Therapist Current Accepting new patients

Locations

1902 Olde Homestead Ln
Lancaster, PA 17601
Phone (717) 723-9910

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

790 New Holland Ave
Lancaster, PA 17602
Phone (717) 293-5104

931 Harrisburg Ave
Ste 9
Lancaster, PA 17603
Phone (717) 544-9051

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

1000 Commerce Park Dr
Ste 110
Williamsport, PA 17701
Phone (570) 323-6944

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1861782542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 COLONIAL VILLAGE LN",
            "address_2": "SUITE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016745",
            "telephone_number": "717-391-0172",
            "fax_number": "717-391-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 COLONIAL VILLAGE LN",
            "address_2": "SUITE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016745",
            "telephone_number": "717-391-0172",
            "fax_number": "717-391-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.