Anderson Peguero II, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

117498 Issued in NY

Practice address

2171 Madison Ave Apt 7H
New York, NY 10037-2325

Phone

(706) 575-3641

NPI assigned

Sep 18, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1780462119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 MADISON AVE APT 7H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100372325",
            "telephone_number": "706-575-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 MADISON AVE APT 7H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100372325",
            "telephone_number": "706-575-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGUERO",
        "first_name": "ANDERSON",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "117498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deena Gail Pegler, DMD
• Kristin Debra Pego, NP
• Tanya Peguero Estevez, MD
• Camila Peguero Peralta
• Corina Peguero-Gonzalez
• Ivelise A Peguero, CLINICAL LAB TECH
• Janet Peguero, LCSW
• Khadijah G Peguero, LCSW
• Natasha R Peguero
• Reina Peguero

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.