Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Ann Perez, PMHNP

Individual provider Registered Nurse · NPI 1528802220

Kelly Ann Perez, PMHNP is a Nurse Practitioner in Fanwood, New Jersey. Qualified in 2024, 2 years ago. Practices with Tree of Life Counseling Center, LLC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2024
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

193 Terrill Rd
Fanwood, NJ 07023-1055
Phone: (908) 258-9524
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ15092100 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 26NR11463600 (NJ)

Record details

NPI number1528802220
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedJune 19, 2024
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tree Of Life Counseling Center, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare