SERGIO PEREZ (NPI# 1003300559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003300559 |
| Entity Type | Individual |
| Full Name | SERGIO PEREZ |
| Practice Address |
4595 Lexington Ave Jacksonville FL 32210-2058 |
| Mailing Address |
653 Monument Rd Apt 1329 Jacksonville FL 32225-7405 |
| Practice Telephone | 9044484700 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275805798 | Sergio Xavier Perez Jr. | Physician Assistant | 3827 Relampago, San Antonio, TX 78223-4081 | 2012-01-30 |
| 1265652093 | Sergio A. Perez | Surgery | E11 Calle Laurel, Colinas De Guaynabo, Guaynabo, PR 00969-6209 | 2007-04-26 |
| 1952869000 | Sergio Perez | Registered Nurse | 2040 Babcock Rd Ste 304, San Antonio, TX 78229-4428 | 2019-03-07 |
| 1104311570 | Sergio Perez | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-06-27 |
| 1336670058 | Sergio Perez | Case Manager/Care Coordinator | 12231 S Eastern Ave Ste 140, Henderson, NV 89052-4415 | 2017-03-23 |
| 1861832321 | Sergio Andres Perez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2013-06-28 |
| 1265877013 | Sergio Eli Perez | Student in an Organized Health Care Education/Training Program | 4190 City Ave, Philadelphia, PA 19131-1626 | 2013-05-07 |
| 1164490272 | Sergio Perez | Physician Assistant | 559 Vincent St, Peterson Afb, CO 80914-1540 | 2006-03-14 |
| 1780681585 | Sergio J. Perez | Internal Medicine | 3501 Cortez Rd W, Bradenton, FL 34210-3104 | 2005-07-07 |
| Street Address |
4595 LEXINGTON AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32210-2058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306035787 | Rebecca Martin Lachut | Counselor | 4595 Lexington Ave, Jacksonville, FL 32210-2058 | 2007-10-22 |
| 1730791369 | Loriell Stephanie Grossling | Social Worker | 4595 Lexington Ave, Jacksonville, FL 32210-2058 | 2020-08-17 |
| 1447861307 | Amanda Barquero | Social Worker | 4595 Lexington Ave, Jacksonville, FL 32210-2058 | 2020-08-13 |
| 1952928087 | Aliyah Campbell | Social Worker | 4595 Lexington Ave, Jacksonville, FL 32210-2058 | 2020-07-06 |
| 1629558531 | Wendy Mcloon | Marriage & Family Therapist | 4595 Lexington Ave, Jacksonville, FL 32210-2058 | 2018-08-20 |
| 1417433194 | Lucy Rose Reeder | Case Manager/Care Coordinator | 4595 Lexington Ave, Jacksonville, FL 32210-2058 | 2018-07-16 |
| 1487144549 | Allison Freeman | Counselor | 4595 Lexington Ave, Jacksonville, FL 32210-2058 | 2018-05-15 |
| 1669976296 | Ashley Danielle Doerr | Social Worker | 4595 Lexington Ave, Jacksonville, FL 32210-2058 | 2018-03-20 |
| 1407363047 | Katherine Louise Lycke | Marriage & Family Therapist | 4595 Lexington Ave, Jacksonville, FL 32210-2058 | 2018-01-04 |
| 1700393360 | Jerri Riggleman | Counselor | 4595 Lexington Ave, Jacksonville, FL 32210-2058 | 2018-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604729 | Finding Balance Counseling, LLC | Counselor | 4705 Palmer Ave, Jacksonville, FL 32210 | 2019-05-13 |
| 1609349620 | Jennifer Lash | Counselor | 4705 Palmer Avenue, Jacksonville, FL 32210 | 2019-01-03 |
| 1588147854 | Alan Craig Ashkinazy | Chiropractor | 5233 Ricker Rd Ste 102, Jacksonville, FL 32210 | 2018-09-12 |
| 1841781671 | Amanda Rodriguez-medina | Chiropractor | 6640 103rd St, Jacksonville, FL 32210 | 2018-05-29 |
| 1518457357 | Vicki Teal | Nurse Practitioner | 6488 103rd Street, Suite A, Jacksonville, FL 32210 | 2018-05-17 |
| 1811412539 | River City Companionship LLC | Clinic/Center | 7857 Delaroche Drive, Jacksonville, FL 32210 | 2017-08-03 |
| 1306366216 | Always Straight From The Heart | Homemaker | 6511 Betsy Court, Jacksonville, FL 32210 | 2017-06-21 |
| 1720538556 | Total Renal Care Inc | Clinic/Center | 5276 Blanding Blvd Ste 26, Jacksonville, FL 32210 | 2016-10-05 |
| 1700333978 | Recovery Counseling and More Inc | Clinic/Center | 4570 Saint Johns Ave, Ste B, Jacksonville, FL 32210 | 2016-09-06 |
| 1831645662 | Drucilla Young | Nurse's Aide | 1700 Blanding Blvd. 68n, Jacksonville, FL 32210 | 2016-08-31 |
| Find all providers in zip 32210 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720519 | Ashley Harms | Counselor | 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 | 2020-11-03 |
| 1902418684 | Molly Ann Burkhardt | Counselor | 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 | 2020-08-23 |
| 1194335638 | Aiteria Green | Counselor | 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 | 2020-08-07 |
| 1053920116 | Barbara Burden | Counselor | 209 N Carole Dr, Jacksonville, NC 28546-4845 | 2020-07-24 |
| 1790393973 | Kelley Holladay | Counselor | 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 | 2020-07-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1447877709 | Quendria Johnson-kerns | Counselor | 200 Zonnie Ln, Jacksonville, NC 28540-9729 | 2020-07-02 |
| 1467077164 | Shanna Horan | Counselor | 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 | 2020-06-09 |
| 1720602527 | Shannon E Raikes | Counselor | 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 | 2020-06-08 |
| 1750905253 | Kathlena N Reed | Counselor | 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 | 2020-06-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32210 |
Please comment or provide details below to improve the information on SERGIO PEREZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.