AMANDA VICTORIA PEREZ LMHC
NPI 1780155143
Counselor - Mental Health in Bunnell, FL

Active since December 11, 2018PECOS Enrolled
4721 E MOODY BLVD STE 204, BUNNELL, FL 32110(386) 237-8837 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 15, 2022, Dec 11, 2018 (2 updates tracked since 2018).

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

NPI1780155143
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA VICTORIA PEREZCredential: LMHC
Location Address4721 E MOODY BLVD STE 204Bunnell, FL 32110-7706
Mailing Address4721 E Moody Blvd Ste 204Bunnell, FL 32110-7706 · (386) 237-8837
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 11, 2018
Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
NPI 1780155143 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 FL · MH15154
4721 E MOODY BLVD STE 204, Bunnell, FL 32110

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda Victoria Perez Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436626926
PECOS Enrollment IDI20260422000123
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 NPPES 4

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

Counselor (Mental Health)
4721 E MOODY BLVD STE 204
BUNNELL, FL 32110
Community/Behavioral Health
4721 E MOODY BLVD STE 204
BUNNELL, FL 32110
Counselor (Mental Health)
4721 E MOODY BLVD STE 204
BUNNELL, FL 32110
Counselor (Mental Health)
4721 E MOODY BLVD STE 204
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.

What insurance does Amanda Perez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Harvard Pilgrim Health Care and Oscar Health Maintenance Organization of Florida and 1 other insurer 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 3 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.