Jennifer Kathryn Pereira, PHD, LPC, RPT-S,

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1345 E Chandler Blvd Ste 107
Phoenix, AZ 85048-6280

Phone

(352) 262-2125

NPI assigned

May 5, 2009

Last updated

Jan 21, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1194959106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 W CORONA DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261184",
            "telephone_number": "352-262-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E CHANDLER BLVD STE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850486280",
            "telephone_number": "352-262-2125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6220 W Corona Dr",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852261184",
            "country_code": "US",
            "telephone_number": "352-262-2125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "JENNIFER",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, RPT-S,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "16425",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel S Perea, LMT, CMMP, CMMT, CES
• Selina Perea, LCSW
• Raul Pereda
• Summer Faye Peregrin, PHARM.D.
• Lizzette Peregrina
• Keith Pereira, MD
• Anushka Lakmali Perera, M.D.
• Liliana Pereyra
• Rosalia Noemi Pereyra, PSYD
• Felicia Perez Canez, MSN, PMHNP-BC

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.