Julia Pedregon

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

84990 Issued in TX

Practice address

2927 Pershing Dr
El Paso, TX 79903-2419

Phone

(915) 543-8448

NPI assigned

Jun 17, 2022

Sex

Female

Sole proprietor

Yes

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 TX

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

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.

• Serene Life Services PLLC

  • Counselor
  • El Paso, TX
  • NPI 1225810229
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1326779729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 PERSHING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032419",
            "telephone_number": "915-543-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 PERSHING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032419",
            "telephone_number": "915-543-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDREGON",
        "first_name": "JULIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberto Pedraza, FNP-C
• Brandy Pedraza
• Carolina Pedraza, PHARMD
• Alyssa Pedregon
• Babette Pedregon
• Pedro a Blandon MD PA
• Pedro S Chavez-H,M.D.,P.a.
• Amparo Pedroza, FNP-BC
• Claudia Angelica Pedroza, REGISTERED NURSE
• Margarita Pedroza, CPNP-AC

• Professional Counselor in El Paso, TX
• Providers in El Paso, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.