Jennifer Pena-Wall

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

201 N Indian Hill Blvd Ste a-201
Claremont, CA 91711-4668

Phone

(909) 825-5588

Fax

(909) 825-5340

NPI assigned

Oct 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Trinity Youth Services

  • Adolescent and Children Mental Health Clinic/Center
  • Monterey Park, CA
  • NPI 1376676973
  NPD (past)

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1700281979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111210",
            "telephone_number": "909-825-5588",
            "fax_number": "909-825-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N INDIAN HILL BLVD STE A-201",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114668",
            "telephone_number": "909-825-5588",
            "fax_number": "909-825-5340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11057 Basye St",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917311655",
            "country_code": "US",
            "telephone_number": "626-444-0539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA-WALL",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Alexis Peace-Redd, LMFT
• Pediatric Care Services, Inc
• Samantha Rae Peebles, RDN
• Adrian Pelaez, D.D.S.
• John Pellitteri, PSY.D.
• Alyson Perez
• Anita Cruz Perez
• Evangelina Perez, LCSW
• Virginia Marie Perovich, PHARMD.
• Perry E Hillburg DPM Incorporated

• Peer Specialist in Claremont, CA
• Providers in Claremont, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.