Jeremiah Perecky, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

014434 Issued in NY

Practice address

278 S Healy Ave
Scarsdale, NY 10583-1025

Phone

(845) 249-6933

NPI assigned

Jul 1, 2024

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

Enrolled in NY

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 1

Specialty

Mental Health Counselor

Education

Liberty Univ College of Osteopathic Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Shalom Mental Health Counseling PLLC

  • Mental Health Counselor
  • Scarsdale, NY
  • NPI 1770314858
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1821833831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 S HEALY AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 S HEALY AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831025",
            "telephone_number": "845-249-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERECKY",
        "first_name": "JEREMIAH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Peck, LMSW
• Pediatric Endocrinology of New York P.C
• Diane M. Penner
• Joshua Penners, DDS
• Alexandra Marie Pepe, LMSW
• Perinatal Maternal Psychiatry of New York PC
• Dean A Perlman, DC
• Kathleen Susan Perrego, MD
• Bradford Benton Perry, M.D.
• Jenelle Persaud-Umar, PHARMD

• Mental Health Counselor in Scarsdale, NY
• Providers in Scarsdale, 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 Jul 1, 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.