KEISHARELY PEREZ MS, LCPC
NPI 1346829199
Counselor - Mental Health in Baltimore, MD

Active since April 07, 2021PECOS Enrolled
822 GUILFORD AVE, BALTIMORE, MD 21202(787) 414-7177(681) 310-0710 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 12, 2024, Apr 7, 2021 (2 updates tracked since 2021).

About Keisharely Perez Ms, Lcpc NPPES

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

KEISHARELY PEREZ MS, LCPC (NPI 1346829199) is an individual mental health provider in Baltimore, Maryland, licensed in Maryland (LC13372) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Catonsville, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1346829199
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKEISHARELY PEREZCredential: MS, LCPC
Location Address822 GUILFORD AVEBaltimore, MD 21202-3707
Mailing Address822 Guilford Ave, Pmb 3085Baltimore, MD 21202-4490 · (787) 414-7177 · Fax (681) 310-0710
Fax(681) 310-0710
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 7, 2021
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
NPI 1346829199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MD · LC13372
822 GUILFORD AVE, Baltimore, MD 21202

Secondary Practice Location 1

Location 1516 N Rolling Rd Ste 201BCatonsville, MD 21228-4490 · Phone (443) 478-3619 · Fax (443) 860-6767

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Keisharely Perez Ms, Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587139704
PECOS Enrollment IDI20260418000408
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.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Internal Medicine
822 GUILFORD AVE, #100
BALTIMORE, MD 21202
Counselor (Professional)
822 GUILFORD AVE, SUITE 217
BALTIMORE, MD 21202
Nurse Practitioner (Adult Health)
822 GUILFORD AVE, SUITE 100
BALTIMORE, MD 21202
Social Worker (Clinical)
822 GUILFORD AVE
BALTIMORE, MD 21202
Behavior Analyst
822 GUILFORD AVE
BALTIMORE, MD 21202
Psychiatry & Neurology (Psychiatry)
822 GUILFORD AVE
BALTIMORE, MD 21202
Behavior Analyst
822 GUILFORD AVE
BALTIMORE, MD 21202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346829199, enumerated as an "individual" on April 07, 2021.

The provider is located at 822 GUILFORD AVE BALTIMORE, MD 21202 and the phone number is (787) 414-7177.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.