Nichole Peralta Azor, LIMHP, LPC, LADC in Sidney, NE

Nichole Peralta Azor, LIMHP, LPC, LADC is a medicare enrolled "Counselor - Mental Health" provider in Sidney, Nebraska. Her current practice location is 731 Illinois St, Sidney, Nebraska. You can reach out to her office (for appointments etc.) via phone at (308) 249-7853.

Nichole Peralta Azor is licensed to practice in Nebraska (license number 1240) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598042467.

Contact Information

	Nichole Peralta Azor, LIMHP, LPC, LADC
	731 Illinois St, Sidney, NE 69162-1747
	(308) 249-7853
	(308) 365-5122

Map and Direction

Healthcare Provider's Profile

Full Name	Nichole Peralta Azor
Gender	Female
Speciality	Counselor - Mental Health
Location	731 Illinois St, Sidney, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598042467
Provider Enumeration Date: 11/07/2011
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8123433315
Enrollment ID: I20240122000969

Medical Identifiers

Medical identifiers for Nichole Peralta Azor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598042467	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2125 (Nebraska)	Secondary
101YM0800X	Counselor - Mental Health	1240 (Nebraska)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	1256 (Nebraska)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nichole Peralta Azor allows following entities to bill medicare on her behalf.

Entity Name	Karuna Counseling Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942706643 PECOS PAC ID: 3779998968 Enrollment ID: O20210222000895

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole Peralta Azor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nichole Peralta Azor, LIMHP, LPC, LADC 206 Beaver Creek Estate Way, West Jefferson, NC 28694 Ph: (308) 249-7853	Nichole Peralta Azor, LIMHP, LPC, LADC 731 Illinois St, Sidney, NE 69162-1747 Ph: (308) 249-7853

Reviews and Comments

Counselor in Sidney, NE

Angelyn Nienhuser, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 10th Ave, Sidney, NE 69162 Phone: 308-249-5520 Fax: 308-254-4949
Audrey Ann Hines, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 10th Ave, Pob 214, Sidney, NE 69162 Phone: 308-254-0737 Fax: 308-254-6375
Mindy Luyando, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 Hickory St, Sidney, NE 69162 Phone: 970-522-7383
Leslie Jane Easterly, MA, LPC, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2245 Illinois St, Sidney, NE 69162 Phone: 308-254-1114 Fax: 308-254-1114
Ms. Jessica Reed Sorge, LIMHP, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2640 El Rancho Rd, Sidney, NE 69162 Phone: 402-705-8588
Ms. Debra Jean Loveless, ED.S, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 10th Avenue, Sidney, NE 69162 Phone: 308-254-0737 Fax: 308-254-6375
Ms. Nancy Kay Bradford, MA, LMPH Counselor Medicare: Not Enrolled in Medicare Practice Location: 1023 10th Avenue, Sidney, NE 69162 Phone: 308-254-0737 Fax: 308-254-6375

Nichole Peralta Azor, LIMHP, LPC, LADC - Medicare Counselor in Sidney, NE