James Peralto, MSW
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Mescalero, NM
NPI 1215056098 · NPPES record last updated Dec 21, 2020
Key facts
- NPI
- 1215056098
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 406 Gayton Ridge Drive
Mescalero, NM 88340-0324 - Phone
- (505) 464-1573
- NPI assigned
- Mar 29, 2007
- Reactivated
- Dec 21, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
406 Gayton Ridge Drive
Mescalero, NM 88340-0324
Mailing address
PO Box 324
Mescalero, NM 88340-0324
Phone (505) 464-1573
Other providers in Mescalero, NM
- Mitch Murry
- Barbara A Najar
- Johnny Olivas
- Mary Orosco
- Kathryn Patterson
- Thomas S. Raffaele
- Marina Rice
- Julian Romero
- Bon J Rush
- Ida L Saenz
All providers in Mescalero, NM · Addiction (Substance Use Disorder) Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.