Individual provider Active NPI

Rochelle Marie Perucca, M.F.T.

  • Counselor
  • Portola Valley, CA
National Provider Identifier
1922512979
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
501 Portola Rd. #8046
Portola Valley, CA 94028
Phone
(650) 424-4341
Fax
(650) 851-5007
NPI assigned
Nov 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

501 Portola Rd. #8046
Portola Valley, CA 94028

Mailing address

501 Portola Rd. #8046
Portola Valley, CA 94028
Phone (650) 424-4341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1922512979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PORTOLA RD. #8046",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "94028",
            "telephone_number": "650-424-4341",
            "fax_number": "650-851-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PORTOLA RD. #8046",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "94028",
            "telephone_number": "650-424-4341",
            "fax_number": "650-851-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUCCA",
        "first_name": "ROCHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portola Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.