Individual provider Active NPI

Mayra Ovidia Peguero-Bueno, LMHC

  • Mental Health Counselor
  • Warwick, RI
National Provider Identifier
1063543544
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC01567 Issued in RI
Practice address
1035 Post Rd
Warwick, RI 02888-3363
Phone
(401) 785-0040
Fax
(401) 941-7847
NPI assigned
Mar 8, 2007
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC01567 RI Primary

Addresses

Primary practice location

1035 Post Rd
Warwick, RI 02888-3363

Mailing address

153 Summer St
Providence, RI 02903-4011
Phone (401) 276-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20250519001232 RI Practitioner - Mental Health Counselor 6507384070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychiatry, Inc. Mental Health CurrentSince Apr 21, 2025 Accepting new patients
Children's Friend and Service Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1063543544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 SUMMER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034011",
            "telephone_number": "401-276-4300",
            "fax_number": "401-331-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883363",
            "telephone_number": "401-785-0040",
            "fax_number": "401-941-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGUERO-BUENO",
        "first_name": "MAYRA",
        "middle_name": "OVIDIA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.