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KATHERINE FEDEROWICZ PEREZ
NPI 1780109702
Counselor - Mental Health in Vineyard Haven, MA

Active since August 10, 2017PECOS EnrolledAccepts Medicare Assignment
111 EDGARTOWN RD, VINEYARD HAVEN, MA 02568(508) 693-7900 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2022, Jul 21, 2022, Jun 23, 2021 and 1 more (4 updates tracked since 2017).

About Katherine Federowicz Perez NPPES

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

KATHERINE FEDEROWICZ PEREZ (NPI 1780109702) is an individual mental health provider in Vineyard Haven, Massachusetts and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1780109702
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHERINE FEDEROWICZ PEREZ
Location Address111 EDGARTOWN RDVineyard Haven, MA 02568-5699
Mailing Address111 Edgartown RdVineyard Haven, MA 02568-5699 · (508) 693-7900
Phone(508) 693-7900
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 10, 2017
Last NPPES UpdateSeptember 8, 20224 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
✔ NPI 1780109702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 126365 (CA)
111 EDGARTOWN RD, Vineyard Haven, MA 02568
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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

Katherine Federowicz Perez 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 ID7618315813
PECOS Enrollment IDI20240408001577
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 Reassignment

Medicare enrollment records show Katherine Perez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Martha's Vineyard Community Services, Inc.
2.2 mi
Mental Health (Including Community Mental Health Center)
111 EDGARTOWN RD
Oak Bluffs, MA 02557
  • Reassigned Medicare billing, Massachusetts enrollment
  • 29 clinicians in this Medicare group
NPI 1659387074 (508) 693-7900

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 20

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

ABIGAIL LEIGHTON
Counselor (Mental Health)
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900
KELLY MERRILL MCCARRON
Counselor (Mental Health)
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900
CLEO WINSRYG-WILD MA
Counselor
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900
BETH MULLER APRN
Nurse Practitioner (Psychiatric/Mental Health)
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900
CECILIA BRENNAN
Counselor (Mental Health)
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900
MISS LUIZA ALENCAR MOUZINHO
Counselor
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900
RALLE RAE GREENBERG LICSW
Social Worker (Clinical)
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900
JAIME SCHWAB
Counselor
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900

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 Katherine Perez's NPI number?

The NPI number for Katherine Perez is 1780109702. It was assigned to this individual provider in the NPPES registry on August 10, 2017.

Where is Katherine Perez located?

Katherine Perez practices at 111 Edgartown Rd, Vineyard Haven, MA 02568. The listed phone number is (508) 693-7900.

What is Katherine Perez's specialty?

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

Is Katherine Perez enrolled in Medicare?

Yes. Katherine 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 organization bills Medicare for Katherine Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Perez reassigns Medicare benefits to Martha's Vineyard Community Services, Inc. (Oak Bluffs, MA). The 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 Katherine Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Perez was last updated on September 8, 2022. 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.