PEGGY A VAQUERA LPCC
NPI 1609413756
Counselor - Mental Health in Susanville, CA

Active since December 09, 2019PECOS Enrolled
1306 RIVERSIDE DR, SUSANVILLE, CA 96130(530) 260-0344 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 1, 2021, Dec 9, 2019 (2 updates tracked since 2019).

About Peggy A Vaquera Lpcc NPPES

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

PEGGY A VAQUERA LPCC (NPI 1609413756) is an individual mental health provider in Susanville, California, licensed in California (LPCC10336) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609413756
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePEGGY A VAQUERACredential: LPCC
Location Address1306 RIVERSIDE DRSusanville, CA 96130-4432
Mailing AddressPo Box 115Standish, CA 96128-0115 · (530) 260-0344
Sole ProprietorYes
Enumeration DateDecember 9, 2019
Last NPPES UpdateOctober 1, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
✔ NPI 1609413756 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 CA · LPCC10336
1306 RIVERSIDE DR, Susanville, CA 96130

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peggy A Vaquera Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Peggy Vaquera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1850 SPRING RIDGE DR
Susanville, CA 96130
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Voluntary or Charitable
1306 RIVERSIDE DR
SUSANVILLE, CA 96130

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 Peggy Vaquera's NPI number?

The NPI number for Peggy Vaquera is 1609413756. It was assigned to this individual provider in the NPPES registry on December 9, 2019.

Where is Peggy Vaquera located?

Peggy Vaquera practices at 1306 Riverside Dr, Susanville, CA 96130. The listed phone number is (530) 260-0344.

What is Peggy Vaquera's specialty?

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

Is Peggy Vaquera enrolled in Medicare?

Yes. Peggy Vaquera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Peggy Vaquera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peggy Vaquera reassigns Medicare benefits to Northeastern Rural Health Clinics (Susanville, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peggy Vaquera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peggy Vaquera was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.