Vivian M Peralta Mesa, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF61566719 Issued in WA

Practice address

1105 15TH Ave Ste F
Longview, WA 98632-3080

Phone

(704) 910-7942

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• South Carolina Dept of Mental Health Accounting Office

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1588714737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 15TH AVE STE F",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323080",
            "telephone_number": "704-910-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 15TH AVE STE F",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323080",
            "telephone_number": "704-910-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA MESA",
        "first_name": "VIVIAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "4516",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1297",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61566719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kortnie Victoria Pena
• Angela Diane Pence, MSW, LICSW, DMHP
• Austyn Pence
• Gary Elliot Penner, MD
• Gareth John Penta, DNP, ARNP, PMHNP-BC
• Karl Evert Pereira, COTA/L
• Jill Ann Pergiel
• Mindy K Perkins, BA, AAC
• Rachel Lynette Perry, CDP
• Jessica Adrienne Pete

• Marriage & Family Therapist in Longview, WA
• Providers in Longview, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.