Active NPI
Lizzette Peregrina, Ma, LPC, PLLC
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1891374138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- LIZZETTE PEREGRINA, MA, LPC, PLLC
- Practice address
- 6633 N 19TH Dr
Phoenix, AZ 85015-1535 - Phone
- (602) 699-5444
- NPI assigned
- Apr 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irene Hernandez
- Title
- Credentialing Specialist
- Phone
- (623) 328-7087
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
6633 N 19TH Dr
Phoenix, AZ 85015-1535
Mailing address
6633 N 19TH Dr
Phoenix, AZ 85015-1535
Other names 1
- All Spectrum Counseling
National Provider Directory
National Provider DirectoryLocations
2601 N 3rd St
Ste 308
Phoenix, AZ 85004
Phone (602) 264-5359
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Phoenix, AZ
- NPI 1629601091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631145600000",
"number": "1891374138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6633 N 19TH DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6633 N 19TH DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151535",
"telephone_number": "602-699-5444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIZZETTE PEREGRINA, MA, LPC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-05",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "IRENE",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "623-328-7087"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "All Spectrum Counseling",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "All Spectrum Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.