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

Maximillian Vincent Perez, CASAC, MHC-LP

Individual provider Mental Health Counselor · NPI 1255167862

Maximillian Vincent Perez, CASAC, MHC-LP is a Mental Health Counselor in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

312 W 47th Street Ground Level
New York, NY 10036-3101
Phone: (917) 475-6481
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 37691 (NY)
Mental Health Counselor Taxonomy 101YM0800X · Licence P128339 (NY)

Record details

NPI number1255167862
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC , MHC-LP
Sole proprietorYes
NPI enumeratedSeptember 10, 2024
Last updated in NPPESNovember 5, 2024
Certification dateNovember 1, 2024

Other providers in New York