1. Home
  2. Directory
  3. California
  4. San Jose
  5. Marriage Family Therapist
  6. NPI Profile

AGUSTINA PERONI LMFT
NPI 1619519105
Marriage & Family Therapist in San Jose, CA

Active since October 16, 2019PECOS EnrolledAccepts Medicare Assignment
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112(408) 457-7100 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 13, 2023, Jul 23, 2021, Jan 3, 2020 and 1 more (4 updates tracked since 2019).

About Agustina Peroni Lmft NPPES

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

AGUSTINA PERONI LMFT (NPI 1619519105) is an individual marriage & family therapist in San Jose, California, licensed in California (138451) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619519105
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameAGUSTINA PERONICredential: LMFT
Location Address160 E VIRGINIA ST STE 100San Jose, CA 95112-5865
Mailing Address160 E Virginia St Ste 100San Jose, CA 95112-5865
Phone(408) 457-7100
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 16, 2019
Last NPPES UpdateMarch 13, 20234 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
✔ NPI 1619519105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 138451
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
160 E VIRGINIA ST STE 100, San Jose, CA 95112
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Agustina Peroni Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294188868
PECOS Enrollment IDI20240130003536
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.

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.

KATE LOUISE RUSSELL-BOGAN
Student in an Organized Health Care Education/Training Program
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (084) 938-2113
THANH NGUYEN
Counselor (Mental Health)
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (408) 918-2618
CHRISTINA RANGEL
Peer Specialist
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (408) 938-2113
MARIA FERNANDA JIMENEZ
Counselor (Mental Health)
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (408) 918-2618
MS. JENNI'FER BANKS-CHAPMAN
Counselor (Professional)
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (408) 938-2113
MS. TRAM ANH NGOC DAO DDS
Dentist
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (408) 457-7100
JOSEPH ANDRADE
Counselor (Mental Health)
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (408) 938-2113
MISS MARINA PEREVERZEVA
Counselor (Addiction (Substance Use Disorder))
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112
Santa Clara County (408) 938-2113

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 Agustina Peroni's NPI number?

The NPI number for Agustina Peroni is 1619519105. It was assigned to this individual provider in the NPPES registry on October 16, 2019.

Where is Agustina Peroni located?

Agustina Peroni practices at 160 E Virginia St Ste 100, San Jose, CA 95112. The listed phone number is (408) 457-7100.

What is Agustina Peroni's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Agustina Peroni enrolled in Medicare?

Yes. Agustina Peroni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Agustina Peroni was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.