DR. KIMM MARIE PEREZ PHD LPA LPC- S NPI 1013321090

NPI Information

NPI: 1013321090
Provider Name: DR. KIMM MARIE PEREZ, PHD, LPA, LPC- S
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
11971 N GRAND PKWY E STE 200
NEW CANEY, TX
ZIP 77357
Phone: (346) 471-5200
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DR. Kimm Marie Perez, PHD, LPA, LPC- S is a mental health counselor in New Caney, TX. DR. Kimm Marie Perez, PHD, LPA, LPC- S NPI is 1013321090. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11971 N GRAND PKWY E STE 200
NEW CANEY, TX
ZIP 77357-828
Phone: (346) 471-5200
Fax: (346) 474-0990

The NPI 1013321090 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/17/2014 and was last updated on 4/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	39232	TEXAS	No
2	101YM0800X	Counselor	Mental Health	64721	TEXAS	Yes
3	101YP2500X	Counselor	Professional	64721	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	336059606	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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