Nichole Peralta Azor, LIMHP, LPC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1240 Issued in NE

Practice address

731 Illinois St
Sidney, NE 69162-1747

Phone

(308) 249-7853

Fax

(308) 365-5122

NPI assigned

Nov 7, 2011

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

Enrolled in NE, NC2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Karuna Counseling IncGroup PAC ID 3779998968, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Karuna Counseling Inc

  • Mental Health Counselor
  • Sidney, NE
  • NPI 1942706643
  Medicare reassignment Care Compare group NPD Authorized official
• Nichole Peralta Azor, PLLC

  • Mental Health Counselor
  • West Jefferson, NC
  • NPI 1881405991
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1598042467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BEAVER CREEK ESTATE WAY",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "28694",
            "telephone_number": "308-249-7853",
            "fax_number": "308-365-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 ILLINOIS ST",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691621747",
            "telephone_number": "308-249-7853",
            "fax_number": "308-365-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA AZOR",
        "first_name": "NICHOLE",
        "credential": "LIMHP, LPC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-07",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1240",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trudy Paxton
• Kelsey Payton
• David J Peckham, DDS
• Sabra D Peetz, PA-C
• Tracey Peneaux
• Pedro Peralta, PTA
• Heike Petersen, NP
• Jonathan David Phipps, CNA
• Physical Therapy Center LLC
• Cassandra Janay Pickett

• Mental Health Counselor in Sidney, NE
• Providers in Sidney, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.