Nina Angel Perales, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

54420 Issued in TX

Practice address

314 E Highland Mall Blvd
Ste 301
Austin, TX 78752-3735

Phone

(512) 444-9922

Fax

(512) 444-9926

NPI assigned

Jun 20, 2013

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 MA

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nina.perales.p1@direct.caremorewest.nextgenshare.com

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.

• Mercury Newco Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boston, MA
  • NPI 1174347850
  Medicare reassignment NPD
• SFC Change PLLC

  • Clinical Social Worker
  • Austin, TX
  • NPI 1750118998
  NPD Authorized official
• Texas Health Action

  • Counselor
  • Austin, TX
  • NPI 1578175576
  NPD (past)
• Waterloo Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Austin, TX
  • NPI 1457529851
  NPD (past)

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1346689601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E HIGHLAND MALL BLVD",
            "address_2": "STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523735",
            "telephone_number": "512-444-9922",
            "fax_number": "512-444-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E HIGHLAND MALL BLVD",
            "address_2": "STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523735",
            "telephone_number": "512-444-9922",
            "fax_number": "512-444-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALES",
        "first_name": "NINA",
        "middle_name": "ANGEL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Mark Peppard, DDS
• Stephanie Pepper, MD
• Ellen Elizabeth Pepperell, DO
• Allison Pequet
• Crystal Marie Perales
• Gina Andrea Peralez, OTR/L
• Loni Peralez
• Tiffany Chiu Peralez, L.AC., AOBTA-CP
• Austin Reid Peralta-Fogle, MD
• Cynthia Peralta, LCSW

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.