Individual provider Active NPI

Raquel M Pereda

  • Mental Health Counselor
  • Wesley Chapel, FL
National Provider Identifier
1053074641
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22601 Issued in FL
Practice address
29924 Cedar Waxwing Dr
Wesley Chapel, FL 33545-3925
Phone
(614) 804-1864
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.2303724 OH
Mental Health Counselor 101YM0800X MH22601 FL Primary

Addresses

Primary practice location

29924 Cedar Waxwing Dr
Wesley Chapel, FL 33545-3925

Mailing address

29924 Cedar Waxwing Dr
Wesley Chapel, FL 33545-3925
Phone (813) 501-3374

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

LicenseStateTypeSpecialty
MH22601FLMDMental Health Counselor
E.2303724OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1053074641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29924 CEDAR WAXWING DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335453925",
            "telephone_number": "813-501-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29924 CEDAR WAXWING DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335453925",
            "telephone_number": "614-804-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREDA",
        "first_name": "RAQUEL",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303724",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.