LISA ANNE PERUCCA LMSW
NPI 1275109167
Counselor - Mental Health in Idaho Falls, ID

Active since June 01, 2021
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402(208) 524-7400 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Anne Perucca Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ANNE PERUCCA LMSW (NPI 1275109167) is an individual mental health provider in Idaho Falls, Idaho, licensed in Idaho (40790) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1275109167
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA ANNE PERUCCACredential: LMSW
Location Address2275 W BROADWAY ST STE GIdaho Falls, ID 83402-2902
Mailing Address2275 W Broadway St Ste GIdaho Falls, ID 83402-2902 · (208) 524-7400
Sole ProprietorNo
Enumeration DateJune 1, 2021
NPPES CertifiedJune 1, 2021
NPI 1275109167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in ID · 40790
2275 W BROADWAY ST STE G, Idaho Falls, ID 83402

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Social Worker (Clinical)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Social Worker (Clinical)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Counselor
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Counselor
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Counselor (Professional)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Social Worker
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Social Worker
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Perucca's NPI number?

The NPI number for Lisa Perucca is 1275109167. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Lisa Perucca located?

Lisa Perucca practices at 2275 W Broadway St Ste G, Idaho Falls, ID 83402. The listed phone number is (208) 524-7400.

What is Lisa Perucca's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Lisa Perucca accept?

Health plans from Providence Health Plan list Lisa Perucca as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Perucca was last updated on June 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.