Active NPI
Adrianna Peguero, M.S.
- Mental Health Counselor
- Valrico, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH10765
- Practice address
- 2470 Bloomingdale Ave
Valrico, FL 33596-6403 - Phone
- (813) 586-8700
- NPI assigned
- Jan 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | IMH10765 | FL | Primary |
Addresses
Primary practice location
2470 Bloomingdale Ave
Valrico, FL 33596-6403
Mailing address
2470 Bloomingdale Ave
Valrico, FL 33596-6403
Phone (813) 586-8700
Other practice location 1
4144 N Armenia Ave
Suite 210
Tampa, FL 33607-6400
Phone (813) 300-2017
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Adrianna.PegueroLMHC@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1106 Druid Rd S
Clearwater, FL 33756-3846
Phone (727) 584-6266
2470 Bloomingdale Ave
Suite 220
Valrico, FL 33596-6403
Phone (813) 586-8600
2727 W Dr Martin Luther King Jr Blvd
Suite 640
Tampa, FL 33607-6399
Phone (813) 842-7582
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH10765 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Management Services, Inc. | Current | Accepting new patients | |
| Behavioral Health Management Services, Inc. | Current | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266
2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582
2470 Bloomingdale Ave
Ste 220
Valrico, FL 33596
Phone (727) 586-8800
Interoperability endpoints
- adrianna.peguerolmhc@direct.mybaycare.org
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clearwater, FL
- NPI 1417052713
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valrico, FL
- NPI 1215403662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1912320656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 BLOOMINGDALE AVE",
"city": "VALRICO",
"state": "FL",
"postal_code": "335966403",
"telephone_number": "813-586-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 BLOOMINGDALE AVE",
"city": "VALRICO",
"state": "FL",
"postal_code": "335966403",
"telephone_number": "813-586-8700"
}
],
"practiceLocations": [
{
"address_1": "4144 N Armenia Ave",
"address_2": "Suite 210",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076400",
"country_code": "US",
"telephone_number": "813-300-2017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEGUERO",
"first_name": "ADRIANNA",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-31",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH10765",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Adrianna.PegueroLMHC@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew St Fl 2",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337593012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Valrico, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.