MISS KELLY PEREZ (NPI# 1184173908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184173908 |
| Entity Type | Individual |
| Full Name | MISS KELLY PEREZ |
| Credential | LMFT |
| Practice Address |
84-14 Queens Blvd Elmhurst NY 11373 |
| Mailing Address |
81-14 Queens Blvd Elmhurst NY 11373 |
| Practice Telephone | 7188999810 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 001697 | NY | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720640394 | Kelly Perez | Counselor | 9150 Waterman Rd Apt 116, Elk Grove, CA 95624-5079 | 2019-07-03 |
| 1730412172 | Kelly Sue Perez | Physician Assistant | 7500 Smoke Ranch Rd Ste 200, Las Vegas, NV 89128-0373 | 2009-09-17 |
| 1003448036 | Kelly Allin Perez | Counselor | 1500 Hughes Way Ste C100, Long Beach, CA 90810-1808 | 2020-02-07 |
| 1114581055 | Kelly Stephanie Perez | Social Worker | 1405 Spruce St, Riverside, CA 92507-2464 | 2019-04-25 |
| 1679057236 | Kelly Perez | Marriage & Family Therapist | 2790 Skypark Dr Ste 215, Torrance, CA 90505-5388 | 2018-09-19 |
| 1194261693 | Kelly Perez | Behavioral Analyst | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2017-01-09 |
| 1902277643 | Kelly Lynn Perez | Nurse Practitioner | 4875 Higbee Ave Nw, Canton, OH 44718-2566 | 2015-10-07 |
| 1548491178 | Kelly Lynn Perez | Pharmacist | 820 S Damen Ave, Pharmacy Service 119, Chicago, IL 60612-3728 | 2009-07-30 |
| 1053565366 | Kelly Jean Perez | Dietitian, Registered | 4076 Neely Rd, Ft. Wainwright, AK 99703 | 2008-11-13 |
| 1376629493 | Kelly Perez | Physician Assistant | 1700 Oak Ave, Muskegon, MI 49442-2407 | 2006-10-31 |
| Street Address |
84-14 QUEENS BLVD |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073737482 | Jay Robin Feld | Marriage & Family Therapist | 8210 Queens Blvd, Elmhurst, NY 11373-4243 | 2007-04-13 |
| 1528181419 | Shirley Gordon Burnside | Marriage & Family Therapist | 116 S. York Road, Suite 201, Elmhurst, IL 60126 | 2007-04-07 |
| 1649759143 | Fariha N Mahmud-syed | Marriage & Family Therapist | 8114 Queens Blvd, Elmhurst, NY 11373-3789 | 2018-08-07 |
| 1124414818 | Shlomit Liz Sanders | Marriage & Family Therapist | 8020 45th Ave, Elmhurst, NY 11373-3545 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649146 | Cosmic Psych-medx | Marriage & Family Therapist | 2065 E 54th St Apt 2, Brooklyn, NY 11234-4750 | 2020-11-06 |
| 1093316309 | Jessica Janik | Marriage & Family Therapist | 625 Panorama Trl Ste 220, Rochester, NY 14625-2432 | 2020-11-03 |
| 1528666054 | Esther Mann | Marriage & Family Therapist | 1226 W Broadway # L-2, Hewlett, NY 11557-1923 | 2020-10-16 |
| 1205434883 | Rachel Davies | Marriage & Family Therapist | 8641 Cobalt Dr, Cicero, NY 13039-8943 | 2020-10-15 |
| 1669079935 | Tiffany Sheppard | Marriage & Family Therapist | 1057 Boynton Ave Apt 2a, Bronx, NY 10472-5761 | 2020-10-08 |
| 1528665205 | Aurela Gjura | Marriage & Family Therapist | 432 E 149th St Fl 3, Bronx, NY 10455-1343 | 2020-10-06 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1265039168 | Christina Berdebes | Marriage & Family Therapist | 11123 76th Rd Apt C5, Forest Hills, NY 11375-6434 | 2020-10-04 |
| 1144827122 | Rachel Kinsella | Marriage & Family Therapist | 141 W 26th St Apt 4b, New York, NY 10001-6800 | 2020-10-03 |
| 1720695554 | Katie Lynn Helpley Marriage & Family Therapist Pllc | Marriage & Family Therapist | 550 Stony Brook Ct Ste 3, Newburgh, NY 12550-6557 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
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| 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.