David Peters

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-2978 Issued in ID

Practice address

720 East Alice
Blackfoot, ID 83221

Phone

(208) 782-9874

NPI assigned

May 1, 2019

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Idaho Dept of Health & Welfare Reg 7 Amh BF

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blackfoot, ID
  • NPI 1114058179
  NPD (past)
• Idaho Dept of Health & Welfare Reg 7 CMH P C

  • Rehabilitation Clinic/Center
  • Blackfoot, ID
  • NPI 1639201593
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 1, 2019.

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1003470436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832210129",
            "telephone_number": "208-782-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 EAST ALICE",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "83221",
            "telephone_number": "208-782-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-2978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenna Peck
• Tayler Peck, COTA
• Kayla Pedigo, LPC
• Peggy J Trebilcock DDS PC
• Darin Perry, LMFT
• Jacob Matthew Pettit, DPT
• Tricia Lee Phelps
• Jodi Munson Phillips, LSW
• Matthew Shawn Phillips, PHARMD
• Brandon K Pieper, CRNA

• All providers in Blackfoot, ID
• Marriage & Family Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.