AMANDA VICTORIA PEREZ LMHC
NPI 1780155143
Counselor - Mental Health in Bunnell, FL
About Amanda Victoria Perez Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA VICTORIA PEREZ LMHC (NPI 1780155143) is an individual mental health provider in Bunnell, Florida, licensed in Florida (MH15154) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Victoria Perez Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amanda Perez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pompano Beach, FL 33069
- Reassigned Medicare billing, Florida enrollment
- 5 clinicians in this Medicare group
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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BUNNELL, FL 32110
BUNNELL, FL 32110
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 Amanda Perez's NPI number?
The NPI number for Amanda Perez is 1780155143. It was assigned to this individual provider in the NPPES registry on December 11, 2018.
Where is Amanda Perez located?
Amanda Perez practices at 4721 E Moody Blvd Ste 204, Bunnell, FL 32110. The listed phone number is (386) 237-8837.
What is Amanda Perez's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Amanda Perez enrolled in Medicare?
Yes. Amanda Perez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amanda Perez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Perez reassigns Medicare benefits to Re-Nu Mental Wellness Center (Pompano Beach, FL). 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 Amanda Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda 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 Florida Health Care Plans and 3 other insurers list Amanda 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 Amanda Perez was last updated on September 15, 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.
# Amanda Victoria Perez, LMHC · NPI 1780155143
Mental Health provider in Bunnell, Florida. Individual provider, active in the CMS NPPES registry since December 11, 2018.
## Identity
- **NPI:** 1780155143 (Entity type: Individual)
- **Enumerated:** December 11, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH15154 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4721 E MOODY BLVD STE 204, Bunnell, FL 32110-7706
- **Phone:** (386) 237-8837
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Re-Nu Mental Wellness Center (NPI 1598454894, Pompano Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 15, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1780155143) · Data from the CMS NPPES public registry.