Individual provider Active NPI

Peter Romano, LPC

  • Professional Counselor
  • Searcy, AR
National Provider Identifier
1003540725
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2402012 Issued in AR
Practice address
1925 W Beebe Capps Expy
Searcy, AR 72143-5012
Phone
(501) 825-3077
NPI assigned
Jul 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P2402012 AR Primary

Addresses

Primary practice location

1925 W Beebe Capps Expy
Searcy, AR 72143-5012

Mailing address

883 Donnie Stevens Rd
Judsonia, AR 72081-9235
Phone (501) 365-1127

Other practice location 1

510 W Arch Ave
Searcy, AR 72143-5204
Phone (501) 365-1127

Other practice location 2

883 Donnie Stevens Rd
Judsonia, AR 72081-9235
Phone (501) 365-1127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P2402012ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathtaker CurrentSince Mar 17, 2024 Accepting new patients
The Forge Counseling Group LLC Professional CurrentSince Mar 17, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1003540725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 DONNIE STEVENS RD",
            "city": "JUDSONIA",
            "state": "AR",
            "postal_code": "720819235",
            "telephone_number": "501-365-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435012",
            "telephone_number": "501-825-3077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 W Arch Ave",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721435204",
            "country_code": "US",
            "telephone_number": "501-365-1127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "883 Donnie Stevens Rd",
            "address_purpose": "LOCATION",
            "city": "Judsonia",
            "state": "AR",
            "postal_code": "720819235",
            "country_code": "US",
            "telephone_number": "501-365-1127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "PETER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2402012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.