Jacob Pena

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1001 N Solano Dr Ste a
Las Cruces, NM 88001-2366

Phone

(575) 621-0217

NPI assigned

Jun 11, 2025

Sex

Male

Sole proprietor

No

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

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.

• On the Bright Side Recovery LLC

  • Peer Specialist
  • Las Cruces, NM
  • NPI 1083597801
  NPD Authorized official

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1891680559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S SAN PEDRO ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013634",
            "telephone_number": "575-312-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N SOLANO DR STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012366",
            "telephone_number": "575-621-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Pelletier, DPT
• Christina Peltrop
• Darcy Pena, CSFA, CST
• Felicity Pena
• Gabriel Pena
• Rachel Elizabeth Pena, LMSW
• Ruby Marie Pena
• Debbie Pendleton
• Nicholas Penner
• William D Penner, COTA/L

• Peer Specialist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Peer Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.