JACOB PENA - NPI 1891680559 - Peer Specialist in Las Cruces, NM

Q: What is Jacob Pena's NPI number?

The NPI number for Jacob Pena is 1891680559. It was assigned to this individual provider in the NPPES registry on June 11, 2025.

Q: What is Jacob Pena's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Pena was last updated on June 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jacob Pena NPPES

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

JACOB PENA (NPI 1891680559) is an individual peer specialist in Las Cruces, New Mexico and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1891680559

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameJACOB PENA

Location Address1001 N SOLANO DR STE ALas Cruces, NM 88001-2366

Mailing Address809 S San Pedro StLas Cruces, NM 88001-3634 · (575) 312-0676

Phone(575) 621-0217

Sole ProprietorNo

Enumeration DateJune 11, 2025

NPPES CertifiedJune 11, 2025

✔ NPI 1891680559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

1001 N SOLANO DR STE A, Las Cruces, NM 88001

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Other Providers at the Same Location NPPES 7

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

JOHN SANCHEZ

Community Health Worker