Jessica Leigh Peyregne, PLMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12856 Issued in NE

Practice address

200 N 34TH St
Norfolk, NE 68701-3197

Phone

(402) 371-3044

NPI assigned

Jan 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Good Life Counseling and Support LLCGroup PAC ID 0446243042, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Good Life Counseling & Support LLC

  • Mental Health Counselor
  • Norfolk, NE
  • NPI 1720191570
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1114678349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2315",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687022315",
            "telephone_number": "402-371-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 34TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013197",
            "telephone_number": "402-371-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYREGNE",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Peterson
• Mary Kathryn Petta, APRN-CNS
• William J Petta, DDS
• Pettitt Behavioral Health, LLC
• Rhonda S Pettitt, APRN
• Jennifer Marie Pfaff
• Alison Erin Pfeifer, PTA
• Kayla Sue Pfeifer, B.S.
• Samantha Phelps
• Stephen Todd Phelps, M.A.C.

• Mental Health Counselor in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.