1. Home
  2. Directory
  3. Florida
  4. Port Orange
  5. Counselor
  6. NPI Profile

MARILOURDES PEREZ MA, LMHC
NPI 1124366430
Counselor - Mental Health in Port Orange, FL

Active since January 21, 2013PECOS EnrolledAccepts Medicare Assignment
3930 S NOVA RD STE 303, PORT ORANGE, FL 32127(386) 310-7436(386) 259-6112 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 23, 2021, Nov 3, 2016 (2 updates tracked since 2016).

About Marilourdes Perez Ma, Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARILOURDES PEREZ MA, LMHC (NPI 1124366430) is an individual mental health provider in Port Orange, Florida, licensed in Florida (MH13815) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1124366430
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARILOURDES PEREZCredential: MA, LMHC
Location Address3930 S NOVA RD STE 303Port Orange, FL 32127-9293
Mailing Address3930 S Nova Rd Ste 303Port Orange, FL 32127-9293 · (386) 310-7436 · Fax (386) 259-6112
Phone(386) 310-7436
Fax(386) 259-6112
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 21, 2013
Last NPPES UpdateNovember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
✔ NPI 1124366430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in FL · MH13815✔ Licensed in ZZ · MH13815
3930 S NOVA RD STE 303, Port Orange, FL 32127
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marilourdes Perez Ma, Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072043439
PECOS Enrollment IDI20250214000080
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Marilourdes Perez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifes Path LLC
19 mi
Mental Health
101 N WOODLAND BLVD STE 400
Deland, FL 32720
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1013753235 (407) 794-9341
Advanced Behavioral Health Center PA
48 mi
Psychiatry
1799 SALK AVE
Tavares, FL 32778
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1043378730 (352) 744-8300
Grow Healthcare Group PA
236 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRYSALIS COUNSELING CENTER LLC
Counselor (Mental Health)
3930 S NOVA RD STE 303
PORT ORANGE, FL 32127
Volusia County (386) 310-7436

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marilourdes Perez's NPI number?

The NPI number for Marilourdes Perez is 1124366430. It was assigned to this individual provider in the NPPES registry on January 21, 2013.

Where is Marilourdes Perez located?

Marilourdes Perez practices at 3930 S Nova Rd Ste 303, Port Orange, FL 32127. The listed phone number is (386) 310-7436.

What is Marilourdes Perez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Marilourdes Perez enrolled in Medicare?

Yes. Marilourdes Perez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marilourdes Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marilourdes Perez reassigns Medicare benefits to 3 organizations: Lifes Path LLC (Deland, FL), Advanced Behavioral Health Center PA (Tavares, FL) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marilourdes Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marilourdes Perez accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Marilourdes Perez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marilourdes Perez was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.