Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Agustina Peroni, LMFT

Individual provider Mental Health Counselor · NPI 1619519105

Agustina Peroni, LMFT is a Marriage and Family Therapist in San Jose, California. Qualified in 2019, 7 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

160 E Virginia St Ste 100
San Jose, CA 95112-5865
Phone: (408) 457-7100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 138451 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1619519105
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorNo
NPI enumeratedOctober 16, 2019
Last updated in NPPESMarch 13, 2023
Certification dateMarch 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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