Josefa Perea, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-3048 Issued in NM

Practice address

742 Stagecoach Dr
Las Cruces, NM 88011-8034

Phone

(575) 571-9980

Fax

(575) 522-8907

NPI assigned

Mar 9, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rising Sun Holistic Counseling

  • Community/Behavioral Health Agency
  • Las Cruces, NM
  • NPI 1477897759
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1043533789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 STAGECOACH DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118034",
            "telephone_number": "575-571-9980",
            "fax_number": "575-522-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 STAGECOACH DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118034",
            "telephone_number": "575-571-9980",
            "fax_number": "575-522-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREA",
        "first_name": "JOSEFA",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "I-3048",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-3048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia Perales, CASE MANAGER
• Gamaliel Perales, MD
• Roxana Peralta
• Julissa Perdomo, RBT
• Dianna Angelica Perea, LMHC
• Paige Perea
• Victoria Marie Perea
• Bryana Pereyra
• Maria Virginia Perez Bastidas, MD
• Claudio Perez-Ledezma, MD

• Clinical Social Worker in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.