Organization Active NPI

Lizzette Peregrina, Ma, LPC, PLLC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1891374138
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Sep 9, 2021

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.