Healthcare Provider Details

I. General information

NPI: 1477461143
Provider Name (Legal Business Name): BARBARA L PEREYRA BSN RN LCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BARBARA F PEREYRA BSN RN LCADC

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 ROCKAGE RD
WARREN NJ
07059-5506
US

IV. Provider business mailing address

2 ROCKAGE RD
WARREN NJ
07059-5506
US

V. Phone/Fax

Practice location:
  • Phone: 908-399-2910
  • Fax: 908-552-4330
Mailing address:
  • Phone: 908-399-2910
  • Fax: 908-552-4330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37LC00116300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: