Active NPI
Ann E Peralta, LCMHC,LPC, LCAS
- Professional Counselor
- Greenville, NC
National Provider Identifier
1619190618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3031
- Practice address
- 1873 Quail Ridge Rd Apt J
Greenville, NC 27858-0909 - Phone
- (252) 347-7611
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1064 | NC | |
| Professional Counselor | 101YP2500X | 3031 | NC | Primary |
Addresses
Primary practice location
1873 Quail Ridge Rd Apt J
Greenville, NC 27858-0909
Mailing address
1873 Quail Ridge Rd Apt J
Greenville, NC 27858-0909
Phone (252) 347-7611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102460 | Medicaid | NC | |
| 187388 | Other | NC | MEDCOST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3031 | NC | MD | Professional Counselor |
| 1064 | NC | MD | Marriage & Family Therapist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1619190618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1873 QUAIL RIDGE RD APT J",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278580909",
"telephone_number": "252-347-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1873 QUAIL RIDGE RD APT J",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278580909",
"telephone_number": "252-347-7611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "ANN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LCMHC,LPC, LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1064",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102460",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "187388",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.