Individual provider Active NPI

Patricia Perona, LMHC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1619202256
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
T-0126511 Issued in NM
Practice address
7027 Montgomery Blvd NE Ste F
Albuquerque, NM 87109-1529
Phone
(505) 880-0100
Fax
(505) 880-0102
NPI assigned
Oct 15, 2009
Last updated
Oct 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T-0126511 NM Primary

Addresses

Primary practice location

7027 Montgomery Blvd NE Ste F
Albuquerque, NM 87109-1529

Mailing address

7027 Montgomery Blvd NE Ste F
Albuquerque, NM 87109-1529
Phone (505) 880-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415004192 NM Practitioner - Mental Health Counselor 9537635792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Albert Einstein College of Medicine of Yeshiva University, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4804 Overland St NE
Albuquerque, NM 87109-2667

9577 Osuna Rd NE
Suite B
Albuquerque, NM 87111-2286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-0126511NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central New Mexico Counseling Services, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1619202256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7027 MONTGOMERY BLVD NE STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091529",
            "telephone_number": "505-880-0100",
            "fax_number": "505-880-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7027 MONTGOMERY BLVD NE STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091529",
            "telephone_number": "505-880-0100",
            "fax_number": "505-880-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERONA",
        "first_name": "PATRICIA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0126511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.