Guadalupe L Perez-Gonzalez, MA, LPC, LCDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

221 Bur Oak Dr
Laredo, TX 78045-6856

Phone

(956) 566-4779

NPI assigned

Apr 11, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Lupita Perez Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1912693227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BUR OAK DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BUR OAK DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456856",
            "telephone_number": "956-566-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-GONZALEZ",
        "first_name": "GUADALUPE",
        "middle_name": "L",
        "credential": "MA, LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUPITA",
            "last_name": "PEREZ",
            "credential": "MA, LPC, LCDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Penn Patient Care, LLC (Infinito Primary & Urgent Care Clinic)
• People With Ideas of Love, Liberty, Acceptance and Respect Pillar
• People's Preferred Pharmacy LLC (Medicine Shoppe)
• Peoples Preferred Pharmacy LLC (The Medicine Shoppe)
• Monica Isabel Perales, MA, LPC-A
• Amy Perez
• Anna Deyla Perez
• Brandon J Perez, PTA
• Clara Guadalupe Perez, FNP-C, APRN
• David B. Perez, RN

• Mental Health Counselor in Laredo, TX
• Providers in Laredo, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.