Organization Active NPI

Jennifer Peres LCSW LLC

  • Community/Behavioral Health Agency
  • Santa Fe, NM
National Provider Identifier
1538644133
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JENNIFER PERES LCSW LLC
Practice address
300 Paseo de Peralta
Santa Fe, NM 87501-5501
Phone
(505) 699-1855
NPI assigned
Sep 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Jennifer Peres, LCSW
Title
Owner
Phone
(505) 699-1855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

300 Paseo de Peralta
Santa Fe, NM 87501-5501

Mailing address

7609 Guadalupe TRL NW
Los Ranchos, NM 87107-6503
Phone (505) 699-1855

Other names 1

  • Jennifer Peres Other name

National Provider Directory

National Provider Directory

Locations

300 Paseo de Peralta
Ste 213
Santa Fe, NM 87501
Phone (505) 699-1855

300 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 699-1855

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1538644133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7609 GUADALUPE TRL NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871076503",
            "telephone_number": "505-699-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASEO DE PERALTA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875015501",
            "telephone_number": "505-699-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER PERES LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "PERES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-699-1855",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Peres",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Jennifer Peres",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.