Individual provider Active NPI

Leonides Perez

  • Mental Health Counselor
  • Coconut Creek, FL
National Provider Identifier
1871974774
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16076 Issued in FL
Practice address
3216 Carambola Cir S
Coconut Creek, FL 33066-2144
Phone
(305) 801-3424
NPI assigned
Jun 16, 2015
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH16076 FL Primary

Addresses

Primary practice location

3216 Carambola Cir S
Coconut Creek, FL 33066-2144

Mailing address

3216 Carambola Cir S
Coconut Creek, FL 33066-2144
Phone (305) 801-3424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260430002664 FL Practitioner - Mental Health Counselor 8123595741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2300 NW 89TH PL
FL 3
Doral, FL 33172-2431

3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH16076FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Banyan Community Health Center, Inc. PastSince Aug 1, 2021 Accepting new patients
Banyan Community Health Center, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1871974774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 CARAMBOLA CIR S",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662144",
            "telephone_number": "305-801-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 CARAMBOLA CIR S",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662144",
            "telephone_number": "305-801-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LEONIDES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.