Active NPI
Tania H Perez Gonzalez
- Mental Health Counselor
- Miami, FL
National Provider Identifier
1912257106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH13325
- Practice address
- 14483 SW 172ND LN
Miami, FL 33177-6619 - Phone
- (786) 450-8836
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Mental Health Counselor | 101YM0800X | IMH13325 | FL | Primary |
Addresses
Primary practice location
14483 SW 172ND LN
Miami, FL 33177-6619
Mailing address
14483 SW 172ND LN
Miami, FL 33177-6619
Phone (786) 450-8836
Other practice location 1
15190 SW 136th St Ste 26
Miami, FL 33196-2618
Phone (786) 701-3109
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH13325 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1912257106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14483 SW 172ND LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331776619",
"telephone_number": "786-450-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14483 SW 172ND LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331776619",
"telephone_number": "786-450-8836"
}
],
"practiceLocations": [
{
"address_1": "15190 SW 136th St Ste 26",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331962618",
"country_code": "US",
"telephone_number": "786-701-3109",
"fax_number": "305-503-6723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ GONZALEZ",
"first_name": "TANIA",
"middle_name": "H",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH13325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.