MR. MARCUS RICHARD PEREZ (NPI# 1801938808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801938808 |
| Entity Type | Individual |
| Full Name | MR. MARCUS RICHARD PEREZ |
| Credential | M.A. |
| Practice Address |
4779 Rose Briar Ln Ooltewah TN 37363 |
| Practice Telephone | 7652286883 |
| Practice Fax Number | 4237754083 |
| Mailing Telephone | 7652286883 |
| Mailing Fax Number | 4237754083 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284299 | Marcus Perez | Behavior Technician | 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 | 2020-10-26 |
| Street Address |
4779 ROSE BRIAR LN |
| City | OOLTEWAH |
| State | TN |
| Zip Code | 37363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203196 | University Health Center | Clinic/Center | 4687 University Drive, Ooltewah, TN 37363 | 2019-09-05 |
| 1508426560 | Alexandra Scott | Dentist | 8985 Old Lee Hwy, Suite 103, Ooltewah, TN 37363 | 2019-06-20 |
| 1093286304 | Wright Pediatric Dentistry | Dentist | 8202 Apison Pike, Ooltewah, TN 37363 | 2018-12-13 |
| 1770052888 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 6085 Arbury Way, Ooltewah, TN 37363 | 2018-11-19 |
| 1679055008 | Rebecca Brown | Nurse Practitioner | 9801 Robinson Farm Rd, Ooltewah, TN 37363 | 2018-09-01 |
| 1750877833 | Amanda Kirkpatrick | Dietitian, Registered | 6103 Hunter Crest Drive, Ooltewah, TN 37363 | 2018-07-02 |
| 1447759493 | Abigale Daniels | Specialist/Technologist | 6154 Wardwell Drive, Ooltewah, TN 37363 | 2018-02-06 |
| 1538671748 | Ryan Volking | Physician Assistant | 7564 Passport Dr, Ooltewah, TN 37363 | 2017-10-27 |
| 1255882270 | Stella Tsui | Physical Therapy Assistant | 3818 Chanterwood Trl, Ooltewah, TN 37363 | 2016-10-14 |
| 1013392299 | Rhonda Wilson | Counselor | 5516 Barons Point, Ooltewah, TN 37363 | 2015-07-29 |
| Find all providers in zip 37363 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336532977 | Leigh Anthony | Counselor | 9747 Snow Hill Rd, Ooltewah, TN 37363-9403 | 2015-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081442 | Denise Marie Martin | Counselor | 2319 Erin Ln, Nashville, TN 37221-2233 | 2020-10-22 |
| 1477168417 | Ss Holdings, LLC | Counselor | 502 Flippin St, Somerville, TN 38068-1801 | 2020-09-15 |
| 1205449121 | Shanille Bowens | Counselor | 7174 Blue Grouse Ln, Memphis, TN 38125-4407 | 2020-08-29 |
| 1932727815 | Abbey Nicole Reeves | Counselor | 2455 Sutherland Ave Bldg F, Knoxville, TN 37919-2355 | 2020-07-08 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1295350338 | Lucinda Ann Earlywine I | Counselor | 1661 Baltimore Dr Apt D, Clarksville, TN 37043-6613 | 2020-06-15 |
| 1245854751 | Natae Jones Feenstra | Counselor | 709 Excalibur Ct, Smyrna, TN 37167-8116 | 2020-06-01 |
| 1669096152 | Alexandra Marquese Mayes | Counselor | 508 S Stonegate Dr, Antioch, TN 37013-1652 | 2020-06-01 |
| 1063034916 | Mckenzie Jean Odom | Counselor | 1620 Old 49 Hwy, Erin, TN 37061-4847 | 2020-05-14 |
| 1982225124 | Capitol City Family Services | Counselor | 5100 Poplar Ave Ste 202, Memphis, TN 38137-0202 | 2020-04-28 |
| 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.