Individual provider Active NPI

Vanessa Perez

  • Professional Counselor
  • Garden City, KS
National Provider Identifier
1972050342
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2858 Issued in KS
Practice address
1111 E Spruce St
Garden City, KS 67846-5958
Phone
(620) 276-7689
Fax
(620) 276-6117
NPI assigned
Sep 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2858 KS Primary

Addresses

Primary practice location

1111 E Spruce St
Garden City, KS 67846-5958

Mailing address

PO Box 477
Garden City, KS 67846-0477
Phone (620) 275-0644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20251126000669 KS Practitioner - Mental Health Counselor 4486146420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

555 N Woodlawn St
Suite 3105
Wichita, KS 67208-3673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2858KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health America of South Central Kansas, Inc. CurrentSince Nov 10, 2025 Accepting new patients
Compass Health Connection Past Accepting new patients

Locations

555 N Woodlawn St
Ste 3105
Wichita, KS 67208
Phone (316) 651-1201

9415 E Harry St
Ste 800
Wichita, KS 67207
Phone (316) 652-2590

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1972050342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678460477",
            "telephone_number": "620-275-0644",
            "fax_number": "620-272-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465958",
            "telephone_number": "620-276-7689",
            "fax_number": "620-276-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.