JACQUELINE PEREZ (NPI# 1538654066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538654066 |
| Entity Type | Individual |
| Full Name | JACQUELINE PEREZ |
| Practice Address |
60 W Sunbridge Dr Fayetteville AR 72703-1822 |
| Mailing Address |
2400 S 48th St Springdale AR 72762-6683 |
| Practice Telephone | 4796951240 |
| Practice Fax Number | 4797504843 |
| Mailing Telephone | 4797502020 |
| Mailing Fax Number | 4797504843 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | F |
| 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 |
|---|---|---|---|---|
| 1376057539 | Jacqueline Perez | Behavior Technician | 15555 Miami Lakeway N Apt 209, Miami Lakes, FL 33014-5565 | 2017-11-27 |
| 1689025967 | Jacqueline Perez | Specialist | 4507 Whispering Hills, Chester, NY 10918 | 2016-06-28 |
| 1700010337 | Jacqueline R Perez | Licensed Vocational Nurse | 12921 Arvila Dr, Victorville, CA 92392-8330 | 2009-05-11 |
| 1245250471 | Jacqueline Esmeraldina Perez | General Practice | U-3-3,carr21,las Lomas, Suite-1, San Juan, PR 00921 | 2006-07-20 |
| 1639115660 | Jacqueline Andrea Perez | Physical Therapist | 2030 Addison St Ste 101, Berkeley, CA 94704-1140 | 2006-06-20 |
| 1275183881 | Jacqueline Perez | Marriage & Family Therapist | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2019-09-16 |
| 1528528213 | Jacqueline Perez | Behavior Technician | 601 University Ave Ste 175, Sacramento, CA 95825-6739 | 2019-03-20 |
| 1477062438 | Jacqueline Claudia Perez | Behavioral Analyst | 10200 Nw 25th St Ste 211, Doral, FL 33172-5927 | 2017-09-21 |
| 1700252210 | Jacqueline Perez | Occupational Therapist | 2200 S Lakeline Blvd, Cedar Park, TX 78613-4567 | 2015-08-19 |
| 1730506577 | Jacqueline Perez | Behavioral Analyst | 11755 Sw 90th St, Ste 210, Miami, FL 33186-2177 | 2014-03-18 |
| Street Address |
60 W SUNBRIDGE DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992743942 | Joyce Marie Prowell | Social Worker | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2006-06-03 |
| 1487255717 | Kati Street | Counselor | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2020-11-03 |
| 1053912360 | Kaitlyn Smith | Social Worker | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2020-11-03 |
| 1508467838 | Taylor Williams | Case Manager/Care Coordinator | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2020-11-03 |
| 1073112264 | Monica Vasiloff | Case Manager/Care Coordinator | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2020-10-20 |
| 1720687981 | Taylor Walker | Counselor | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2020-10-20 |
| 1740889906 | Catherine Rievert | Social Worker | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2020-10-20 |
| 1215534268 | Adam Kelley | Case Manager/Care Coordinator | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2020-10-02 |
| 1710591631 | Haley Martin | Case Manager/Care Coordinator | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2020-09-08 |
| 1649884560 | Henry Smith | Counselor | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2020-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583432 | Don Del-raye Jones | Counselor | 521 Rempstone Ln, Fayetteville, NC 28311-5501 | 2020-09-17 |
| 1023628278 | Quadiedra Amos | Counselor | 3675 Fallstaff Dr, Fayetteville, NC 28306-9079 | 2020-08-03 |
| 1699385963 | William Jones | Counselor | 4250 Clinton Rd Ste 102, Fayetteville, NC 28312-8517 | 2020-08-03 |
| 1952919573 | Bianca Thomas | Counselor | 2713 Lake Club Dr, Fayetteville, NC 28304-5349 | 2020-07-20 |
| 1962029546 | Deanna Dale Dunn | Counselor | 767 W North St Ste 112, Fayetteville, AR 72701-1865 | 2020-06-30 |
| 1053937490 | Balance Ground Counseling LLC | Counselor | 240 Lofty Eagle Ln, Fayetteville, GA 30214-3531 | 2020-06-22 |
| 1659994010 | Martanika Michelle Smith | Counselor | 351 Wagoner Dr Ste 105, Fayetteville, NC 28303-4608 | 2020-05-20 |
| 1477188985 | Qiana Tamieka Gatling | Counselor | 4417 Briton Cir, Fayetteville, NC 28314-2401 | 2020-03-04 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1194359182 | Meredith Leigh Kimbrough | Counselor | 31 E Center St Ste 210, Fayetteville, AR 72701-5391 | 2020-02-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on JACQUELINE 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.