Active NPI
Jessica Peralta
- Professional Counselor
- Katy, TX
National Provider Identifier
1013690205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 87069
- Practice address
- 472 Park Grove Dr
Katy, TX 77450-1571 - Phone
- (713) 489-5473
- NPI assigned
- Aug 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 87069 | TX | Primary |
Addresses
Primary practice location
472 Park Grove Dr
Katy, TX 77450-1571
Mailing address
19826 View Park LN
Richmond, TX 77407-2401
Phone (832) 277-7834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87069 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1013690205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19826 VIEW PARK LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774072401",
"telephone_number": "832-277-7834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "472 PARK GROVE DR",
"city": "KATY",
"state": "TX",
"postal_code": "774501571",
"telephone_number": "713-489-5473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "87069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.