NICHOLE PERALTA AZOR, PLLC
NPI 1881405991
Counselor - Mental Health in West Jefferson, NC
About Nichole Peralta Azor, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLE PERALTA AZOR, PLLC (NPI 1881405991) is a healthcare organization registered as a mental health in West Jefferson, North Carolina and active in the NPI registry since January 2025. The organization lists Nichole Peralta Azor, Limhp, Lpc, Ladc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nichole Peralta Azor, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nichole Peralta Azor, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nichole Peralta Azor, PLLC's NPI number?
The NPI number for Nichole Peralta Azor, PLLC is 1881405991. It was assigned to this organization in the NPPES registry on January 17, 2025.
Where is Nichole Peralta Azor, PLLC located?
Nichole Peralta Azor, PLLC is located at 750 Beaver Creek School Rd, West Jefferson, NC 28694. The listed phone number is (308) 249-7853.
What is Nichole Peralta Azor, PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Nichole Peralta Azor, PLLC enrolled in Medicare?
Yes. Nichole Peralta Azor, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nichole Peralta Azor, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Nichole Peralta Azor, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nichole Peralta Azor, PLLC was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Nichole Peralta Azor, Pllc · NPI 1881405991
Mental Health organization in West Jefferson, North Carolina. Organization record, active in the CMS NPPES registry since January 17, 2025.
## Identity
- **NPI:** 1881405991 (Entity type: Organization)
- **Enumerated:** January 17, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Nichole Peralta Azor, LIMHP, LPC, LADC
## Practice location
- **Address:** 750 BEAVER CREEK SCHOOL RD, West Jefferson, NC 28694-7118
- **Phone:** (308) 249-7853 · **Fax:** (531) 248-4687
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1881405991) · Data from the CMS NPPES public registry.