Individual provider Active NPI

Alyssa A. Peret, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1922432368
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
54255 Issued in TX
Practice address
8500 N Mopac Expy Ste 402
Austin, TX 78759-8347
Phone
(512) 902-3282
Fax
(512) 535-3499
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 54255 TX
Clinical Social Worker 1041C0700X 54255 TX Primary

Addresses

Primary practice location

8500 N Mopac Expy Ste 402
Austin, TX 78759-8347

Mailing address

8500 N Mopac Expy Ste 402
Austin, TX 78759-8347
Phone (512) 902-3282

Other names 1

  • Ayla Peret Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 4, 2024 through Jun 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
54255TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1922432368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 N MOPAC EXPY STE 402",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598347",
            "telephone_number": "512-902-3282",
            "fax_number": "512-535-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 N MOPAC EXPY STE 402",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598347",
            "telephone_number": "512-902-3282",
            "fax_number": "512-535-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERET",
        "first_name": "ALYSSA",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "54255",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYLA",
            "last_name": "PERET",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.