JENNIFER PERES LCSW LLC (NPI# 1538644133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538644133 |
| Entity Type | Organization |
| Organization Name | JENNIFER PERES LCSW LLC |
| Other Organization Name | JENNIFER PERES |
| Practice Address |
300 Paseo De Peralta Santa Fe NM 87501-5501 |
| Mailing Address |
7609 Guadalupe Trl Nw Los Ranchos NM 87107-6503 |
| Practice Telephone | 5056991855 |
| Mailing Telephone | 5056991855 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | JENNIFER PERES (OWNER) |
| Authorized Official Telephone | 5056991855 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Jennifer Peres | Other Name - Individual/Organization |
| Street Address |
300 PASEO DE PERALTA |
| City | SANTA FE |
| State | NM |
| Zip Code | 87501-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194378307 | Mary Mclellan, Lcsw | Social Worker | 300 Paseo De Peralta, #204, Santa Fe, NM 87501-8750 | 2019-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775327 | Rasanjana Bhandari | Behavior Technician | 1505 Paseo De Conquistadora, Santa Fe, NM 87501 | 2018-10-01 |
| 1497102172 | New Mexico Neurodiagnostics, LLC | Clinic/Center | 150 Washington Ave., Ste. #201-220, Office 224, Santa Fe, NM 87501 | 2016-05-23 |
| 1831557891 | Jane Berger | Social Worker | 300 Griffin St Ste 213, Santa Fe, NM 87501 | 2016-02-05 |
| 1316325061 | Serenity Wellness Center of Santa Fe, LLC | Counselor | 343 E Palace Ave, Santa Fe, NM 87501 | 2015-05-14 |
| 1902209497 | Mdlive Medical Group Nm LLC | Counselor | 123 Marcy Street, Santa Fe, NM 87501 | 2014-09-29 |
| 1396154183 | Julie Price | Counselor | 1 Montoya Cir, Santa Fe, NM 87501 | 2014-08-06 |
| 1053609487 | Michael Shawn Haner | Acupuncturist | 909 Early St., Santa Fe, NM 87501 | 2011-07-19 |
| 1396045316 | Dana Moore | Counselor | 950 Canyon Rd., Santa Fe, NM 87501 | 2010-10-25 |
| 1720394232 | Susan Nelsen | Social Worker | 118 Huddleson St, Santa Fe, NM 87501 | 2010-08-20 |
| 1033434543 | Anthony R Moya | Social Worker | 501 Franklin Ave Ofc 6, Santa Fe, NM 87501 | 2010-03-29 |
| Find all providers in zip 87501 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771357 | Ariane Mahmud-ghazi, LLC | Community/Behavioral Health | 1604 Young St, Santa Fe, NM 87505-3504 | 2020-08-21 |
| 1255967550 | Carrie Eberhardy, Lcsw LLC | Community/Behavioral Health | 3600 Cerrillos Rd Ste 724e, Santa Fe, NM 87507-2690 | 2020-03-18 |
| 1437701539 | Courtney C. Lee Psychotherapy LLC | Community/Behavioral Health | 1010 Marquez Pl Ste D11, Santa Fe, NM 87505-1724 | 2019-07-10 |
| 1255818720 | Youth Works | Community/Behavioral Health | 1504 Cerrillos Rd, Santa Fe, NM 87505-3550 | 2018-07-26 |
| 1558856104 | Daybreak Counseling, Inc. | Community/Behavioral Health | 4001 Office Court Dr Ste 403, Santa Fe, NM 87507-4906 | 2018-06-26 |
| 1366949398 | Fernandez Counseling, LLC | Community/Behavioral Health | 117 N Guadalupe St Ste D, Santa Fe, NM 87501-6526 | 2018-04-06 |
| 1124530969 | Renee Borsberry Lpcc Lpat | Community/Behavioral Health | 2723 Paseo De Tularosa, Santa Fe, NM 87505-5801 | 2017-11-02 |
| 1558805895 | Neurogenesis | Community/Behavioral Health | 613 Canyon Rd, Santa Fe, NM 87501-2721 | 2016-12-06 |
| 1891146742 | Kamal Therapy | Community/Behavioral Health | 6442 Cerros Grandes Dr, Santa Fe, NM 87507-1813 | 2016-06-22 |
| 1467830950 | Gabrielle Viethen, Ma Mfa Aware LLC | Community/Behavioral Health | 2074 Galisteo St Ste B5, Santa Fe, NM 87505-2157 | 2015-05-15 |
| Find all providers in SANTA FE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.